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Thiamine deficiency in patients with congestive heart failure receiving long-term furosemide therapy: a pilot study, American Journal of Medicine 91 (2): 151-155

Bodineau, C., Tom, M., Murdoch, P

No, the procedure is minimally painful and well tolerated

S.JanelidzeS.MatssonV

Then they gently work their way up, and if they run into these side effects along the way, they can slow down that dose before they ultimately get to that higher dose that allows them to achieve their goal