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B12, glycine, or other additives can support energy and reduce nausea during the transition

Notably, S1R interaction is most pronounced with fluvoxamine and, to a lesser extent, with fluoxetine and escitalopram, conferring immunomodulatory and anti-inflammatory effects, supporting the potential repurposing of this receptor in inflammatory and viral illnesses [13,36-38]

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Kostev, 2014): Diarrhea Difficulty sleeping Dizziness Dry mouth Headache Nausea Nervousness Rapid heart rate Sexual dysfunction Tiredness Tremor Weight gain (except fluoxetine which may cause weight loss) Sexual dysfunction Sexual dysfunction is particularly bothersome, affecting 4065% of both men and women who use SSRI antidepressants

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