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Its certainly not an easy decision before us, Dana Sullivan, who serves on the Group Insurance Commissions board, said ahead of the vote

By starting with or maintaining lower doses, providers hope to balance effectiveness with tolerability

These arent edge cases anymore

Neuropsychopharmacology 39 (13), 30093017

The most frequently reported side effects were gastrointestinal in nature, including nausea (occurring in 25-33% of patients depending on dose), diarrhea (21-23%), and vomiting (8-10%)
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