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Hoarseness that shows no signs of improvement, worsens over the days following surgery, or a loss of the ability to speak should not be ignored in case a vocal cord injury has occurred.

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One example, the use of COX2 inhibitors after withdrawal of rofecoxib, has shown that, in Australia, use of another COX2 inhibitor, meloxicam, increased and that the subsequent introduction of a new COX2 inhibitor, lumiracoxib, led to widespread use of this medicine before it too was withdrawn because of adverse events.

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27 Patients should be encouraged to consult with a registered dietitian if they are unable to selfmanage dietary needs.

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Patients who have not received previous treatment may begin with one 100-mg extended phenytoin capsule three times daily.

You always understand that using anecdotes to help decision making is a temporizing measure because, and again unlike CAM, there will be future studies that will help guide optimal therapy.

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Koplewicz contended. They never really delineate what they mean by serious adverse effects, but what they imply is suicidality, and I think thats a little disingenuous.

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