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These studies argue that there must be sex differences as women have reported to present rapid cycling more often than men, besides the onset in female patients occurs with depressive phases and present more mixed manic presentations Moreover, BD can be accompanied by psychiatric comorbidities such as anxiety or substance abuse and impulse control disorders [13]

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Establish a monitoring plan that includes regular follow-up visits, laboratory testing as indicated, and clear instructions for when to contact your healthcare team

[DOI] [PubMed] [Google Scholar] 28.Visbll T, Rosenstock J, Yki-Jarvinen H, et al

S., Kim, R

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