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10.1371/journal.pone.0080512 81

In that case, you might want to switch to a similar treatment in the same space (like an ED alternative to sildenafil or tadalafil)

This means that a breastfed child will likely not be exposed to the drug

Fluoxetine ameliorates behavioral and neuropathological deficits in a transgenic model mouse of alpha-synucleinopathy

additional glucose lowering treatment should be considered, as needed

The risk is highest during periods of rapid weight loss, which typically occur in the first 12 to 24 weeks of treatment at higher doses
