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If concomitant use of VYVANSE with other serotonergic drugs or CYP2D6 inhibitors is clinically warranted, initiate VYVANSE with lower doses, monitor patients for the emergence of serotonin syndrome during drug initiation or titration, and inform patients of the increased risk for serotonin syndrome

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doi:10.1053/j.gastro.2009.04.055

While less directly relevant to most peptide and HRT compounds, it applies to pharmacies that handle chemotherapy agents or certain hormones classified as hazardous by the National Institute for Occupational Safety and Health (NIOSH)

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It achieves this by limiting glucose release from liver glycogen stores and enhancing glucose uptake at the cellular level