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non-oral or backup contraception methods should be considered

If symptoms persist despite addressing nutritional deficiencies and implementing lifestyle modifications, consultation with a neurologist or sleep medicine specialist may be appropriate

For patients trying to understand the bigger picture, our related guide on Brain Health and Cognitive Longevity explains why cognition is best understood through multiple systems: metabolic, vascular, inflammatory, hormonal, sleep, movement, sensory, and behavioral

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10.1016/j.neubiorev.2003.11.010 39 LautarS

If side effects like nausea persist, your healthcare provider may recommend staying at a lower dose for an additional four weeks before attempting an increase