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Therapy should be evaluated and lab work should be reviewed to see what the levels are, determine if the levels are low, determine if the levels are rising appropriately with therapy, and assure that this therapy is having an effect and is needed and useful

The FDA has issued warnings about these formulations, especially when made by pharmacies that arent properly regulated

This is particularly valuable for patients who need a slower titration schedule due to side effects, patients who require a dose between the available brand increments, or patients for whom the standard titration pace produces intolerable gastrointestinal symptoms

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