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I always add some purified water to lessen any irritation
5 Based on their findings, Carroll and Kelley advise that until more rigorous studies (randomized, controlled trials with diverse menopausal patient populations at least 12 weeks in duration or longer) are conducted to assess their use in the management of hot flashes, duloxetine, escitalopram, fluvoxamine, and mirtazapine (see below) should be reserved as last-line therapy
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As these medications continue to shape the future of diabetes care, ongoing research and clinical insights will further illuminate their roles in optimizing patient outcomes.
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