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This is a safe entry dose that minimizes side effects and maximizes tolerability

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[36] Shivering and diarrhea are mild serotonin syndrome symptoms, but rigid muscles, fever, and seizures are severe symptoms

Technical requirements for Medicare NDC entry: Format: 11-digit NDC in 5-4-2 configuration Electronic claim (837P): enter in Loop 2410, Segment LIN, with qualifier N4 Paper claim (CMS-1500): enter in Box 19 Unit of measure qualifier: UN for units, ML for milliliters, or GR for grams Quantity reported: the actual amount administered, not the full vial size Commercial payer NDC requirements work differently

The good news is that some people notice improvements within a few days, particularly if they have a significant deficiency