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What is the final word on coffee? I have heard that it could be a benefit for alertness/concentration, and that it actually works to speed up the metabolism, etc. I have also heard that it can cause a counter-effect with anti-convulsants, making someone on these meds lack concentration and feel foggy. What is the best answer for someone looking to feel energized, but also is on anti-convulsants? I am concerned because I also have endocrine issues.

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Coffee has been found to have many benefits. It has been associated with increased mental alertness and ability to concentrate; however, there have been some studies that demonstrate an inhibitory effect of caffeine on anticonvulsive therapy. This was true with some anticonvulsants and not others. In other words, caffeine intake could make some anticonvulsants less effective. If you enjoy drinking caffeinated beverages, it is important to check with your doctor or pharmacist to find out whether caffeine can interfere with your specific anticonvulsive therapy. Caffeine is a known central nervous system stimulant but has not shown a systemic effect of increasing metabolism. The best way to increase energy level is to increase physical activity. However; once again, it is important to check with your doctor before embarking on a regular exercise routine.