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Long-term stimulant abuse causes cardiovascular damage including elevated stroke and heart attack risk, neurological damage from dopamine receptor depletion, chronic depression and anhedonia, significant weight loss and malnutrition, cognitive impairment, persistent sleep disorders, and psychosis risk

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What might start as a strategy to suppress appetite often evolves into a metabolic imbalance that, over time, contributes to poor fat distribution, increased abdominal adiposity, altered hormonal responses, and a disrupted relationship with food and exercise