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After an appointment in July, she went home and began feeling poorly: chills, nausea and shaking

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If mood changes coincide with dose increases, your healthcare provider may consider slowing the titration schedule, temporarily maintaining a lower dose, or even reducing to a 1.7mg dose to allow your body more time to adjust, as outlined in the UK SmPC

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Patients should be aware of two serious conditions that can present with abdominal pain: pancreatitis and gallbladder disease