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Sleepiness and fatigue Loss of appetite Weight loss leading to nutritional deficiencies Speech problems such as slurred speech Slow reactions Cognitive impairment and difficulty remembering or concentrating Memory lapses and mental fogginess Nausea Abdominal pain Insomnia and sleep issues Hyperthermia High body temperature and inadequate sweating Reduced sweating Fever and flushing Mood changes such as heightened depression, increased anxiety and mood swings Kidney stones About 1 in 50 adults develop kidney stones