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A qualified clinician should review the patient’s diagnosis, conventional options, medications, allergies, pregnancy status when relevant, organ function, prior reactions, goals, and ability to participate in monitoring

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When present, side effects are typically mild and transient, potentially including slight drowsiness if administered too early (easily resolved by timing adjustment), mild headaches during initial adaptation in some individuals (usually resolving within days), temporary vivid dreams as sleep architecture normalizes, or rare reports of mild dizziness upon waking in sensitive individuals