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The review noted that longer and larger trials are needed to confirm long-term safety, a limitation that applies to most hormone optimization approaches

This gradual approach is similar to weight management strategies that emphasize sustainable, measured progress

Common side effects of trazodone can include: Blurred vision Nausea and vomiting Diarrhea or constipation Changes in appetite Weight changes Feeling weak or tired Nervousness Dizziness Lightheadedness Nightmares Muscle pain Dry mouth Rash Stuffy nose Red or itchy eyes Other serious physical side effects of trazodone can include: Chest pain Changes in heartbeat Loss of consciousness Fainting Fever Shortness of breath Unusual bleeding or bruising Headaches Problems thinking or concentration Trouble with memory Lack of coordination Antidepressants like trazodone can also increase the risk of a person experiencing suicidal thoughts, especially in teens, children, and young adults

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