When I took them, I would eventually feel like I took too much caffeine, not shaky, but a weird bleach odor in my nose and clenching my teeth. MD Aligne has the best Trams but after 4 orders last year they wanted me to see a doctor before refilling. If you haven;t used them yet you could try. Just make sure when you fill out the questionnaire you say you have seen a doctor in the past year and that they are aware you are requesting the medication. I think Starlight has white Trams too but I haven;t ordered from there yet.