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The words up to (as in sustained up to 4 years) are doing a lot of work here
The gradual titration schedule recommended in the template reflects findings indicating the importance of careful dose escalation for optimizing efficacy and tolerability (Atanasovski, 2023)
A responsible practitioner should explain: The expected benefits of a recommendation Possible risks and side effects Reasonable alternatives The quality and limitations of available evidence How progress will be measured When treatment should be changed or stopped When referral to another healthcare professional is appropriate Be cautious of providers who promise cures, discourage needed medical care, recommend extensive testing without a clear purpose, or cannot explain their professional credentials
Kalmuk, S
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