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In 2023, the FDA classified it as a Category 2 bulk drug substance , meaning it cannot be legally compounded by commercial pharmaceutical compounding pharmacies in the United States
The mechanism is plausible: dopamine D2 receptor modulation and serotonergic interactions can shift the neurotransmitter balance toward wakefulness
This is a good sign that your treatment is working, even if some symptoms are still improving
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Inform your doctor if any unusual symptoms persist
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