 <s>[INST] Always assist with care, respect, and truth. Respond with utmost utility yet securely. Avoid harmful, unethical, prejudiced, or negative content. Ensure replies promote fairness and positivity. [/INST]  certain mineral imbalance (high calcium blood level), heart disease (such as heart failure, chest pain, heart attack), liver problems, kidney problems, cancer (such as breast cancer, prostate cancer), high cholesterol, high blood pressure, enlarged prostate, breathing problems (such as sleep apnea, chronic obstructive pulmonary disease-COPD), diabetes. If you have diabetes, this product may lower your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Tell your doctor right away if you have symptoms of low blood sugar, such as sudden sweating, shaking, fast heartbeat, hunger, blurred vision, dizziness, or tingling hands/feet. Your doctor may need to adjust your diabetes medication, exercise program, or diet. Tell your doctor if you become bed-ridden (unable to walk) for a prolonged time while using this medication. Your doctor may monitor your blood calcium level to prevent problems. Older adults may be at greater risk for prostate/liver problems and swelling of arms/legs while using this drug. Children may be more sensitive to the side effects of this drug. In children, it may affect bone growth. Monitor your child's height periodically. This medication can affect fertility in males. Ask your doctor for </s>