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If nausea, vomiting, or diarrhea remain significant at any dose, hold that dose for an additional two to four weeks before escalating
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Case 6: A 15yo girl with menstrual irregularity, cushingoid appearance, severe acanthosis nigricans, BMI 29,7kg/m (SDS +2,19), TST 10mm, adiposity LL 21% and FMR 1,47 vs
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Although they are in clinical practice for decades, the precise mechanism of cardiotoxicity and effective prevention is still part of the research
Vitamin E (D-Alpha Tocopherol)
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