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Lifestyle modifications can significantly reduce palpitation frequency: Limit caffeine intake reduce or eliminate coffee, tea, energy drinks, and chocolate, particularly in the afternoon and evening Avoid alcohol and smoking both can trigger palpitations and interact with cardiovascular function Manage stress incorporate relaxation techniques such as deep breathing exercises, mindfulness, or yoga Ensure adequate sleep aim for 7-9 hours nightly, as sleep deprivation can exacerbate palpitations Gradual physical activity avoid sudden intense exercise

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Patients with certain medical conditions should exercise caution: those with Leber's hereditary optic neuropathy (a rare genetic condition) may experience optic nerve damage with high-dose cyanocobalamin