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These chemicals include dopamine, norepinephrine, and serotonin, which are involved in various processes such as mood regulation, appetite control, and energy levels

This side effect is often most noticeable when first starting treatment or after a dose increase, which is why most protocols begin at a lower dose and increase gradually over time

Its safety profile is well-established, with the most common side effects being mild gastrointestinal issues such as nausea, vomiting, and diarrhea

The medication also carries a boxed warning about the potential risk of thyroid tumors, though this risk appears to be very low in humans based on current data

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