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Description
Of the 59 patients with information, 40 (67.80%) presented an increase or recurrence of fever and 33 of 42 patients with data (78.57%) presented chills
doi: 10.1016/S0924-2244(00)88944-X 25

Symptoms are the same as for anemia from any cause: fatigue, breathlessness, and lightheadedness

Avoid combining with other stimulants during the initial adaptation period
