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Thyroid disorders: Patients with hypothyroidism, hyperthyroidism, or a history of thyroid cancer should discuss ashwagandha's potential thyroid effects with their endocrinologist before use

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Because of its ability to calm the physical responses of the nervous system, propranolol is prescribed for various conditions, including: High blood pressure (hypertension) Irregular heart rhythms (arrhythmias) Performance anxiety or social anxiety symptoms Migraine prevention Essential tremors Because it affects the heart and the nervous system, it can sometimes interfere with how your body signals certain internal changes, such as a drop in blood sugar

Most people at this dose level have been titrating for 8 weeks already and have developed some tolerance