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Withholding the medication is generally only necessary in selected high-risk cases or for patients experiencing significant gastrointestinal symptoms

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But "on average" is doing a lot of work in that sentence

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2004 Nov;1033:79-91

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The standard justification requires a documented medical need, such as a verified allergy to an inactive ingredient in the brand-name formulation, that makes the FDA-approved version unsuitable for that specific patient

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