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Not every nootropic will affect all of these conditions, but if you have any of the health concerns listed below, be particularly cautious about starting a nootropic, and talk to your doctor: Kidney disease92 Liver disease93 Thyroid disorders88 Heart problems87 Asthma64 GI blockages94 Stomach ulcers94 Urinary tract blockages94 High blood pressure64 Diabetes90 Cancer95 Phenylketonuria (PKU)96 Muscular dystrophy97 Nootropics also dont interact well with drugs or alcohol

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PLoS ONE 8 , e80138

If metabolic warning, blood and urine tests should be obtained, followed by delivery of 10% dextrose-containing intravenous fluid at a rate of 1.5 times maintenance (simultaneously with fluid boluses as necessary) (1)