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An unexplained change in how you respond is worth raising with your provider so the two can be told apart
Clemmons DR, Miller S, Mamputu JC
doi:10.4103/0970-9185.117079
Listed contraindications include active opioid use, uncontrolled hypertension, psychiatric instability, severe hepatic or renal impairment, and a personal history of pancreatitis
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