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It is also important to recognise that palpitations have many potential causes beyond diet, including: Thyroid disease (particularly an overactive thyroid) Anaemia from any cause Caffeine and energy drinks , or pre-workout supplements Decongestants containing pseudoephedrine (found in some over-the-counter cold remedies) [4] [10] Alcohol and recreational drugs Fever or infection Pregnancy Anxiety or panic disorder If you are taking any medicines, herbal remedies, or supplements and experience new palpitations, consider whether these could be a contributing factor

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Because the thyroid gland stores large amounts of thyroid hormone as thyroglobulin , a patient with Hashimotos thyroiditis may initially develop goiter, (which occurs due to inflammation), rather than symptoms due to hypothyroidism