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Both, I'd bet.
The good news about the hot flashes, nausea, and other weirdness that can hit you when you first start Effexor is that it goes away! I had horrible hot flashes and night sweats on it for the first week or so -- enough that I almost thought i was hitting menopause early! It didn't last long, though, just a week or so of adjustment.
Good luck to you. Effexor can be a very good medication, and I hope it treats you well.
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There is no heroic poem in the world but is at bottom a biography, the life of a man; also, it may be said there is no life of a man, faithfully recorded, but is a heroic poem of its sort, rhymed or unrhymed.
Thomas Carlyle in essay on Sir Walter Scott
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