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So I've developed, in the popular book and the professional book, a 27-item questionnaire that a clinician could administer very quickly

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However, if the dose is too high (over-replacement), patients may experience: Palpitations, rapid heartbeat, or chest discomfort Tremor, nervousness, or anxiety Heat intolerance and excessive sweating Insomnia or sleep disturbances Unintentional weight loss When taking both medications together , it is important to distinguish between side effects attributable to each drug

The practical limitation is patient training

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