In these cases, the drug is evaluated based on what the patient actually used, including the active ingredient and dosing history, because causation often turns on timing and exposure details
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Started at a low dose and gradually bumped up
Fernandez-Millan E, Martin MA, Goya L, Lizarraga-Mollinedo E, Escriva F, Ramos S, et al
If fatigue persists beyond two weeks, assess your total caloric intake