I am 31, been taking this stuff for about 5 years now. I am always tired, sometimes dizzy spells hit me out of nowhere. I wake up at night with my heart racing and/or pounding. If I get up out of bed suddenly, I swear my heart is going to beat out of my chest. I have had bouts with PVC or my heart skipping beats and such. The least little thing I do I feel like I've ran a marathon, out of breath, heart racing and pounding. A few months after starting, I developed horrible acid reflux, so of course had to start taking Nexium. My hands sometimes slightly swell and get red and I also get the hot flashes like my bp suddenly spikes on me, but i'll take it and it'll be normal. Im going to the doctor and get off this medicine. I also always feel weird, or like i'm just not all here. I feel like an idoit its taken me this long to figure it all out. I feel like i've lost 5 years of my life to feeling horrible.