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Because of this, it is classified as a class C drug during pregnancy

Potential role of new therapies in modifying cardiovascular risk in overweight patients with metabolic risk factors Obesity, 2006, metabolic-syndrome context review PMID 16625817 Halford JC

Inadequate energy intake, particularly if carbohydrate consumption is very low, may result in feelings of weakness, shakiness, or light-headedness that patients may interpret as jitteriness