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You have partial response to a stimulant but cant get to full symptom response You cannot get to full dosing on stimulants due to side effects The child has severe early morning or evening ADHD symptoms You are trying to provide additional ADHD symptom coverage while also targeting comorbid anxiety or oppositional behavior

Clin Biochem Rev 39(1):3 Wang YQ, Wen Y, Wang MM, Zhang YW, Fang ZX (2020) Prolactin levels as a criterion to differentiate between psychogenic non-epileptic seizures and epileptic seizures: a systematic review
Biochemical Society transactions

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This depends on multiple factors including your B12 blood levels
