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doi: 10.1016/J.TICE.2024.102465 [DOI] [PubMed] [Google Scholar] 105.Ho TY, Lo HY, Liu IC, et al

Quinine is also associated with a cluster of symptoms called cinchonism (nausea, vomiting, headaches, and deafness)

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The metabolic changes come from cellular-level effects rather than artificially elevated sympathetic tone
