When your body suddenly gets fewer calories than it's used to, its normal to feel tired as a result
doi:10.1242/jeb.058214
pmid:6471907 34
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According to FDA prescribing information, the most common side effects include nausea, diarrhea, vomiting, constipation, abdominal pain, and dyspepsia
DeBacker et al (2010): Comparison of dopamine and norepinephrine in the treatment of shock