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Their products come with a caveat that they are "not for human consumption." These consumers appear comfortable mixing their drugs up themselves

There is a theoretical concern regarding pancreatitis risk

[16] Noradrenergic and serotonergic nuclei in the ARAS are involved in the regulation of the REM sleep cycle and function as "REM-off" cells, with amphetamine's effect on norepinephrine and serotonin contributing to the suppression of REM sleep and a possible reduction of cataplexy at high doses

An example is when people undergo dialysis due to kidney disease

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