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Case reports and pharmacovigilance databases include: Insomnia Increased sleep latency Fragmented sleep Restless sleep for some users That means insomnia risk exists, but is not a universal or high-frequency side effect

Parvin Peddi, medical oncologist and director of Breast Medical Oncology for the Margie Petersen Breast Center at Providence Saint Johns Health Center and Associate Professor of Medical Oncology at Saint Johns Cancer Institute in Santa Monica, California

Tracking your cycle and communicating with your provider can help manage any irregularities