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Common side effects include: Dizziness and fatigue Numbness or tingling sensations, often in the hands and feet (paresthesia) Difficulty concentrating, memory problems, or brain fog Changes in mood, including nervousness or irritability Nausea, stomach pain, or constipation Weight loss (which for some is the desired effect, but can be a side effect when used for other conditions) More serious, though less common, side effects can include: Metabolic Acidosis: A condition where there is too much acid in the body, potentially leading to symptoms like fatigue, hyperventilation, and, in severe cases, stupor or cardiac arrhythmias