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These medications are not licensed by the MHRA for ADHD, and they do not appear in NICE guidelines for ADHD management (NG87)
When you add alcohol to the equation, youre introducing a substance that requires specific enzymatic pathways for detoxification, and those pathways are suppressed by the medication
This gradual escalation prevents overwhelming side effects like flushing, nausea, or headaches that occur when starting at high doses, allows the pituitary to adapt to regular stimulation improving long-term response, and provides opportunity to identify minimal effective dose avoiding unnecessary higher dosing and associated costs
Its reasoning is that muscle mass naturally declines with weight loss, and preserving lean mass protects resting metabolic rate and insulin sensitivity
Many of us feel like were currently living inside the most bizarre film set of all time, but it is also feels a bit like a ridiculous black comedy for some with B12 deficiency
