“…However, the use of EDs also carries associated risks. Documented adverse effects of EDs include impacts on the cardiovascular system like palpitations and increased blood pressure [8], effects on the central nervous system such as restlessness, sleeping disturbances, and acute psychosis [5,[9][10][11], the renal system (e.g., metabolic acidosis) [11,12], the endocrine system (e.g., obesity, hyperinsulinemia, decreased insulin sensitivity) [5,13,14], along with gastrointestinal upset, peptic ulcer [15,16], and increased dental erosion [17].…”