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===ME/CFS === Many people with ME/CFS use caffeine to improve mental alertness or [[concentration]] or to reduce [[fatigue]] in the short term, but the 2014 [[International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis]] primer cautions against excessive usage due to the risk of [[tachycardia]] and [[agitation]].<ref name="Primer2014">{{Citation | date = 2014 | url=https://www.massmecfs.org/images/pdf/Primer_2014.pdf | title=Chronic Fatigue Syndrome Myalgic Encephalomyelitis Primer for Clinical Practitioners | last1 = ((International Association for Chronic Fatigue Syndrome / Myalgic Encephalomyelitis)) | author-link = International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis | last2 = Friedberg | first2 = Fred | author-link2 = Fred Friedberg | last3 = Bateman | first3 = Lucinda| author-link3 = Lucinda Bateman | last4 = Bested | first4 = Alison C | author-link4 = Alison Bested | last5 =Davenport | first5 = Todd | author-link5 = Todd Davenport | last6 = Friedman | first6 = Kenneth J | author-link6 = Kenneth Friedman | last7 = Gurwitt | first7 = Alan R | author-link8 = Alan Gurwitt | last8 = Jason | first8 = Leonard A | author-link8 = Leonard Jason | last9 = Lapp | first9 = Charles W | author-link9 = Charles Lapp | last10 = Stevens | first10 = Staci R | author-link10 = Staci Stevens | last11 = Underhill | first11 = Rosemary A | author-link11 = Rosemary Underhill | last12 = Vallings | first12 = Rosamund | author-link12 = Rosamund Vallings|location=Chicago, USA| publisher = International Association for Chronic Fatigue Syndrome/Myalgic Encephalomyelitis}}</ref> Consuming caffeine in the afternoon or evening is also advised against for ME/CFS patients due to the likelihood of it causing or contributing to [[insomnia]].<ref name="Primer2014"/> Adolescents and children with ME/CFS are advised to limit the use of caffeine for concentration/attention to times when it is particularly important, such as for exams, and to be aware of the caffeine found in energy drinks.<ref name="Rowe, et al, 2017">{{Cite journal | last1 = Rowe | first1 = Peter C. | author-link1 = Peter Rowe | last2 = Underhill | first2 = Rosemary A. | author-link2 = Rosemary Underhill | last3 = Friedman | first3 = Kenneth J. | author-link3 = Kenneth Friedman | last4 = Gurwitt | first4 = Alan | author-link4 = Alan Gurwitt | last5 = Medow | first5 = Marvin S. | author-link5 = Marvin Medow | last6 = Schwartz | first6 = Malcolm S. | author-link6 = Malcolm Schwartz | last7 = Speight | first7 = Nigel | author-link8 = Nigel Speight | last8 = Stewart | first8 = Julian M. | author-link8 = Julian Stewart | last9 = Vallings | first9 = Rosamund | author-link9 = Rosamund Vallings | last10 = Rowe | first10 = Katherine S. | author-link10 = Katherine Rowe| title = Myalgic Encephalomyelitis/Chronic Fatigue Syndrome Diagnosis and Management in Young People: A Primer| journal = Frontiers in Pediatrics | volume = 5 | issue = | pages =121 | date = 2017| doi =10.3389/fped.2017.00121}}</ref>
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