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When the body is adjusting to a new drug, it may respond in ways that include muscle cramps

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Serotonergic symptoms to report immediately : new-onset tremor in the hands or jaw, jerking movements (myoclonus) during sleep or waking, profuse sweating not explained by exercise or ambient temperature, unexplained diarrhea (three or more loose stools per day), and any episode of confusion or agitation

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This can lead some people to skip meals entirely