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Effects (vary by person and dose)

Short-term: increased alertness, euphoria, confidence, reduced appetite
Also common: anxiety, restlessness, increased heart rate and blood pressure

Serious risks 🚨

Addiction and dependence

Heart problems (arrhythmias, heart attack, stroke)

Overdose (can occur even in experienced users)

Mental health effects (panic, paranoia, psychosis)

Nasal damage with snorting (bleeding, septum damage)

Unknown additives—many samples are adulterated (e.g., with levamisole), increasing toxicity