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If the same side effects return, consider splitting the dose (discussed below) or accepting the lower dose as your current ceiling and holding there longer before trying again in four to six weeks

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Substance Abuse History: If you have a history of drug or alcohol abuse, the potential for addiction to Adderall is much higher

Aggressive calorie restriction can raise cortisol and adrenaline levels, which may stimulate the heart and contribute to palpitations

Conclusion While rare, twins can sometimes cause a false negative pregnancy test due to very high hCG levels and the hook effect