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Mol Cell Endocrinol (2018) 473:17885

Possible side effects and health issues, with or without additives, include: Heart Problems: Increased heart rate, high blood pressure, heart attacks, and irregular heart rhythms Neurological Issues: Seizures, strokes, and long-term cognitive impairments Mental Health Effects: Anxiety, paranoia, hallucinations, and severe mood swings Respiratory Damage: Breathing difficulties and lung damage, especially when smoked or snorted Digestive Problems: Nausea, abdominal pain, and reduced appetite Risk of Overdose: Even a small amount can lead to a fatal overdose, especially when mixed with opioids like fentanyl Each use of cocaine is a serious gamble with your health and your life

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Briefly, it is a complex disease characterized by an altered cell signaling pathway that triggers uncontrolled growth and differentiation