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This is the elephant in the room

Cardiovascular concerns Both Vyvanse and Adderall can increase heart rate and blood pressure

They are pathway-level markers they do not predict how you will respond to a specific drug, but they characterize the ground a clinician is prescribing into

systematic review of 13 studies encompassing 84,065 patients demonstrated significantly higher retained gastric contents rates (odds ratio 5.56, 95% confidence interval 3.359.23) but found no significant difference in actual aspiration rates (odds ratio 1.75, 95% confidence interval 0.644.77) [37]

How much muscle you build or retain primarily stems from one factor: consistency