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Gradual dose reduction rather than abrupt stopping Some clinicians use a gradual tapering approach rather than abrupt discontinuation, stepping down the dose over several weeks or months before stopping entirely

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When theres sub-optimal glucose and highly active neurons have limited access to energy, they dysfunction and ultimately die on a chronic basis. The most active neurons are in regions of learning and memory, Fillit said, making them more susceptible to glucose deprivation and, ultimately, neurodegeneration

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Doses then step up gradually over a period that commonly runs around four to five months before reaching a full maintenance level

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