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Individual variation is driven by genetics, baseline metabolic health, activity level, protein intake, adherence to the dosing schedule, and several factors that arent fully characterized yet
However, if they continue, worsen, or feel severe, consult a doctor immediately
Aids in helping the muscles recover more quickly following exercise or periods of physical exertion
[67] [75] [31] The immediate adverse effects of MDMA use can include: Bruxism (grinding and clenching of the teeth) [8] [16] [24] Dehydration [16] [67] [75] Diarrhea [67] Erectile dysfunction [8] [76] Hyperthermia [8] [16] [75] Increased wakefulness or insomnia [8] [67] Increased perspiration and sweating [67] [75] Increased heart rate and blood pressure [8] [16] [75] Increased psychomotor activity [8] Loss of appetite [8] [65] Nausea and vomiting [24] Visual and auditory hallucinations (rarely) [8] Other adverse effects that may occur or persist for up to a week following cessation of moderate MDMA use include: [65] [24] Physiological Psychological Long-term As of 2015 [79] However, there is consistent evidence of structural and functional deficits in MDMA users with high lifetime exposure
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