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Prior pancreatitis, gallbladder disease, kidney problems, diabetic retinopathy, significant gastrointestinal symptoms, and use of insulin or sulfonylureas may require closer risk assessment rather than automatic exclusion

However, the nervous system needs time to recalibrate and learn that safety is sustainable outside the ketamine experience itself

These are not recognized clinical indications

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The goal is to reduce side effects, improve tolerance, and lower treatment costs while still getting the metabolic benefits

There is no established clinical data confirming that compounded versions carry identical side-effect profiles to the branded drugs