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Fiber blends, chromium, magnesium, and adaptogens like ashwagandha are popular additions during the cycling process

Front Psychiatry 10:458 Bah T, Benderdour M, Kaloustian S, Karam R, Rousseau G, Godbout R (2011) Escitalopram reduces circulating pro-inflammatory cytokines and improves depressive behavior without affecting sleep in a rat model of post-cardiac infarct depression

More serious side effects, although rare, can include allergic reactions, chest pain, severe dizziness, or numbness in extremities

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