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But if patients are paying less, they may be getting less of the medication, too, or a version diluted with unknown additives, Isaacs said

Patients who get fleeting tinnitus frequently may be at risk of developing hearing loss
The 2.5mg strength is typically used as a starting dose under medical supervision before dose escalation, depending on patient response

It generally does not make them less effective, but it can delay how quickly they reach peak levels in your blood

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