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A dosage adjustment is recommended in patients with moderate or severe renal impairment and in patients with ESRD requiring hemodialysis or peritoneal dialysis

Its possible, as the reduced calorie intake may lead to feelings of fatigue

If an infection is left untreated, it can spread and become serious
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Lisdexamfetamine (Elvanse) is taken orally, and although it is a prodrug that requires enzymatic conversion in the blood (rather than in the gut) to become active, the timing of absorption could potentially be affected
