Caffeine tends to accumulate in your bloodstream and system, but it is possible that there are other factors that may be inducing an elevated pulse that is felt more than usual (what we call palpitations). Such factors include anemia (decreased hemoglobin, the pigment that allows red blood cells to carry oxygen), an over active thyroid gland (hyperthyroidism), dehydration, and stress (whether emotional or physical, like lack of sleep). It would be wise to do basic blood tests (a complete blood count and thyroid hormone levels) along with cutting down on coffee consumption. If you turn out to have anemia or hyperthyroidism, these can be easily managed with dietary interventions/supplements and medications, respectively. If all is normal, you may need to have an electrocardiogram (ECG) to look at the heart rate and rhythm and make sure that both are regular. If no abnormalities are detected on the ECG, then the palpitations are most likely due to stress.
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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