Yes, there are some risks and side effects associated with using acupuncture and integrative medicine, though they are generally minimal when performed by a qualified practitioner. Here are some potential risks and side effects:

1. Minor Bruising or Soreness: Acupuncture needles may cause minor bruising or soreness at the insertion sites. This is usually temporary and resolves on its own.

2. Infection Risk: Although rare, there is a small risk of infection if needles are not properly sterilized. Ensuring that the acupuncturist follows strict hygiene practices can mitigate this risk.

3. Dizziness or Lightheadedness: Some individuals may experience dizziness or lightheadedness during or after an acupuncture session. This is typically brief and resolves quickly.

4. Worsening of Symptoms: In some cases, symptoms may temporarily worsen before improvement is noticed. This is usually a transient response as the body adjusts to the treatment.

5. Needle Sensitivity: Individuals with a sensitivity to needles or a fear of needles may find the acupuncture experience uncomfortable. Discussing any concerns with the acupuncturist beforehand can help address these issues.

6. Potential Interactions with Other Treatments: While acupuncture is generally safe when used alongside other treatments in integrative medicine, it’s important to inform all healthcare providers about the use of acupuncture to avoid any potential interactions.

Overall, acupuncture is considered a safe and effective complementary therapy within the framework of integrative medicine. As with any medical treatment, it's important to consult with a healthcare provider to ensure that acupuncture is appropriate for your specific condition and to address any potential risks or concerns.