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Taking too much can be dangerous (increasing heart rate, anxiety, or worse)

This extended protocol adds intermediate dose steps (0.5mg, 3mg, 6mg) that do not appear in the standard clinical trial schedule

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When to Contact a Healthcare Professional Travellers should seek medical advice if they experience: severe nausea or vomiting persistent dehydration missed doses with uncertainty about timing damaged medication pens Healthcare professionals can provide guidance specific to the medication being used