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It's like anything other legal stimulant. In small doses it's fine. In larger does it can cause lots of health related issues. People can build up a tolerance to caffeine and need more in order to get any kind of 'hit' from it. Here is a list of stuff that can happen from drinking too much. Jitters, Restlessness, and NervousnessIncreased heartbeatNauseaAnxietyHeart palpitations (cardiac arrhythmia)InsomniaSweatingDizzinessVomitingI have read about full on heart attacks happening because too much has been consumed but I am unsure how much was actually consumed. I would presume that there are underlying health issues too in order to cause this.