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When used to treat an underactive thyroid, T-Thyroxine is usually taken once a day. The dose may need to be adjusted based on your individual needs. Clenbuterol is well-known to cause symptoms such as rapid heart rate (tachycardia), palpitations, tremors, anxiety, lowered blood potassium (hypokalemia), and elevated blood sugar (hyperglycemia). Adverse effects happen more often with the large doses used for performance enhancement and weight loss. 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