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When the body consumes fewer calories than it burns, physiological changes including shifts in stress hormones, electrolyte levels, and blood glucose can affect the cardiovascular system, sometimes causing a racing, fluttering, or irregular heartbeat

Its actually sterile

Professional lab testing, consultations, and ongoing medical monitoring also play a role, which is why costs can vary so much

But like any drug that affects your hormone levels, enclomiphene isnt totally risk-free

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Its presenting, at its worst, as inability to fall asleep at night due to low blood pressure/shortness of breath