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Titration schedule Weeks 58: Increase to 0.5 mg once weekly
For a patient with nausea, chemical sensitivity, or strong smell aversion, that alone can affect adherence
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Chronic fatigue can also be also be triggered by a variety of events in addition to long standing stress Patients I see often have the onset of fatigue after a viral infection, environmental exposure such as mold in a water damaged home or workplace, travel borne illness like diarrhea from a parasite or bacteria
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