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Lifestyle modifications can significantly reduce palpitation frequency: Limit caffeine intake reduce or eliminate coffee, tea, energy drinks, and chocolate, particularly in the afternoon and evening Avoid alcohol and smoking both can trigger palpitations and interact with cardiovascular function Manage stress incorporate relaxation techniques such as deep breathing exercises, mindfulness, or yoga Ensure adequate sleep aim for 7-9 hours nightly, as sleep deprivation can exacerbate palpitations Gradual physical activity avoid sudden intense exercise

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Unintentional weight loss exceeding expected therapeutic goals may indicate malabsorption or inadequate nutrition