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When the coffee was withdrawn, she became entirely normal and was dismissed froni the hospital.12 A more recent study published in the, Journal of Clinical Psychiatry reported that caffeine is not only capable of triggering panic attacks, but can also increase their frequency and intensity.13 Even moderate intake of caffeine has been found to worsen anxiety,14 and in a typical vicious cycle, individuals with anxiety and depression have been found to exhibit increased sensitivity to caffeine.15, 16 Finally, a report in the Archives of General Psychiatry found that caffeine produced significant increases in anxiety, nervousness, fear, nausea, palpitations, restlessness, and tremors in patients with agoraphobia and panic disorders

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The most recurrent problem, especially in adults, was gastroesophageal reflux (52.3% vs 22.6%)

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