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Think about what caused it
For men: Starting doses typically range from 200-300 mcg daily, with potential increases to 400-500 mcg based on individual response and treatment goals
In vulnerable patients, these interventions can increase serotonin reuptake activity, reducing serotonin availability and worsening depressive symptomsdespite being prescribed with good intentions.
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The timing of surgical repair and the decision of whether to address the nasal deformity at the time of cleft lip repair is something that is debatable and influenced by surgeon preference and case-specific variables
10.1016/s0002-9440(10)63460-8 90 Stolzenberg-SolomonR
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