Read on to learn more about the similarities and differences between Lexapro (escitalopram) and Zoloft (sertraline). Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. My doctor prescribed me 2.5 mg of Lexapro. These include social anxiety disorder (SAD), generalized anxiety disorder (GAD), panic disorder with or without agoraphobia, and obsessive-compulsive disorder (OCD). For OCD, Lexapro is prescribed at doses up to 40 milligrams a day. I am back to normal now and loving life. Our self-help course has helped thousands of OCD sufferers. Mayo Clinic does not endorse companies or products. Now I'm on lexapro for 6 months and my OCD is 70% better and I'm a happy person also my libido is good. Int Clin Psychopharmacol. I am on day 8 and yesterday I switched from 5mg to 10 mg and I was back to normal. This process is usually covered by insurance, depending on your plan, and must be ordered by a physician. 2023 Healthline Media LLC. This medicine should come with a Medication Guide. Depression is a mood disorder that can affect a persons daily life. Frontiers in Neuroscience. 79% of reviewers reported a positive experience, while 11% reported a negative experience. But youre not alone, and there is hope. HHS Vulnerability Disclosure, Help information is beneficial, we may combine your email and website usage information with Zoloft (sertraline hydrochloride) tablets, for oral use; Zoloft (sertraline hydrochloride) oral solution. I need a high dose - 60mg - but it works really well for me. The table below compares the conditions each drug is approved to treat. The most common side effects reported include the following: People new to Lexapro should take caution when driving or operating machinery until they know how the drug will affect them. In short, it SAVED my life. for the Careers. For more information, read about the dangers of abruptly stopping an antidepressant. The side effects were unbearable. sharing sensitive information, make sure youre on a federal This study sought to investigate the efficacy of escitalopram at different dosages for the treatment of obsessive-compulsive disorder (OCD). De novo classification request for Brainsway Deep Transcranial Magnetic Stimulation System. Talking to your doctor before taking Lexapro for OCD is crucial because the FDA does not specify a precise Lexapro dosage for OCD. For the people who benefit from medication, they usually see their OCD symptoms reduced by 40-60%. I have been on sertaline and prozac and they were no good. Other conditions you should discuss include: Other medications you are currently taking, Whether you are breastfeeding, pregnant, or plan to get pregnant. Lexapro should not be combined with Orap (a medication used for Tourettes), Celexa, or MAO inhibitors, doesnt appear to significantly increase seizure risk, doctors believe its time to revisit these guidelines, combination of medication and exposure and response (ERP) therapy, Risk-taking behavior that is out of character, Weight changes (both weight gain and weight loss have been reported), Sexual changes, including impotence, lack of libido, and inability to reach orgasm, A tailor made course of treatment for your exact type of OCD, 60+ personalised audio sessions of therapy using CBT, ERP & more, 100+ meditations for relaxation, mindfulness & more. I feel like my old self again. 79% of reviewers reported a positive experience, while 11% reported a negative experience. Doctors may prescribe Lexapro for obsessive-compulsive disorder, insomnia, and symptoms of menopause. Serotonin syndrome can be life threatening. I wanted to die every single day. I saw a 80%-90% reduction of my symptoms. Work with your doctor so that you can get the appropriate diagnosis and treatment. Dougherty DD, Jameson M, Deckersbach T, Loh R, Thompson-Hollands J, Jenike M, Keuthen NJ. National Library of Medicine An official website of the United States government. These tend to be limiting and self-resolving after several weeks but can occasionally be so intense for an individual that they stop taking the medication. This is not without controversy, either; because black box warnings were established in 2004, nearly 20 years ago, and because some argue that they overinflate the risk of suicide and deter people away from antidepressants that could help them, many doctors believe its time to revisit these guidelines. This is the process, as mentioned above, that Lexapro and other SSRIs block, making more serotonin available for use. Everyone double-checks things once in a while. Intrusive thoughts are what make OCD OCD.with compulsions as costars. I am not sad for no reason and I don't have suicidal thoughts! However, the dose is usually not more than 20 mg per day. Unauthorized use of these marks is strictly prohibited. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. I still get obsessive thoughts but it's a lot easier to let go of them and not ruminate. Its theorized that the gene might work faster in people with OCD, too fast in essence, enabling it to eat up extra serotonin and compromise communication between neurons. They intruded on every single aspect of my existence, making being present in any given moment virtually impossible, because the thoughts would not let up. Accessibility My psychiatrist suggested Lexapro, began on 5mg and slowly work my way up to 30mg (currently on this dosage for the last three months). Serotonin is a neurotransmitter, a type of molecule that effectively acts as the bodys chemical messenger. Very high doses of ESC, on the other hand, can be considered for patients with inadequate therapeutic responses to the administration of 40 mg/day ESC. Hopefully, youll be one of them! Accessed Sept. 3, 2019. In fact, its believed that almost half of OCD cases (48%) are due to genetics. Having mutations on these genes (or any other they discover) doesnt guarantee that an individual will get OCD just as not having them doesnt guarantee a life free of OCD. Obsessive-compulsive disorder. If you are a Mayo Clinic patient, this could I remember being extremely emotional and reacting heavily to my intrusive thoughts. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. https://www.nimh.nih.gov/health/topics/obsessive-compulsive-disorder-ocd/index.shtml. In some instances, the intrusive thoughts may still pop up but the OCD sufferer will not take them as seriously and will be more apt to ignore them instead of engaging in their compulsions. Lexapro's mechanisms of action to reduce symptoms of anxiety and depression are not fully understood. Only four OCD medications have been approved by the United States Food and Drug Administration (FDA) for use in children: clomipramine (Anafranil), fluoxetine (Prozac), fluvoxamine (Luvox) and sertraline (Zoloft), but doctors can prescribe any OCD medications to children if they feel it is needed. All rights reserved. But it can cause a number of unpleasant side effects. If you miss a dose of this medicine, take it as soon as possible. September of 2020 things got a lot worse. For oral dosage forms (solution or tablets): Adults and children 12 years of age and older10 milligrams (mg) once a day, taken either in the morning or evening. Low serotonin can leave the brains wires crossed, mixing up the messages the molecules transmit. Maximum dose: 20 mg orally once a day. The .gov means its official. People who are afraid to approach for treatment please don't be afraid the medication works awesome. panic disorder. This medication has given me the opportunity to be happy, something that my OCD always prevented me to do before. Other genes include NRXN1, which plays an important role in synaptogenesis, synaptic maintenance, and neurotransmitter release; CTTNBP2, which is strongly linked to autism (which is also linked to OCD); and REEP3, which is believed to be important to synaptic plasticity. We are still playing with dosage(15mg now) but my life is completely different. Make a list of: Don't hesitate to ask any other questions during your appointment. Zuilhof Z, Norris S, Blondeau C, Tessier P, Blier P. Neuropsychiatr Dis Treat. Steps to help diagnose obsessive-compulsive disorder may include: It's sometimes difficult to diagnose OCD because symptoms can be similar to those of obsessive-compulsive personality disorder, anxiety disorders, depression, schizophrenia or other mental health disorders. Accessed Feb. 19, 2020. Because obsessive-compulsive disorder often requires specialized care, you may be referred to a mental health professional, such as a psychiatrist or psychologist, for evaluation and treatment. It is cray since I had OCD since I was 11 and because of how bad it got. The FDA does not specifically outline exact Lexapro dosage for OCD cases, so it is critical to talk with your doctor about taking Lexapro for OCD, including any prior medications you have taken for symptoms. government site. Learn about these commonly prescribed drugs, including side effects, how they work, and the pros and cons. I'm also sleeping way better. Older adults10 mg once a day, taken either in the morning or evening. Obsessive-compulsive disorder. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Canadian Medical Association Journal. Pros: Anxiety has greatly reduced, very few panic attacks, hasn't stopped the thoughts however they have become much easier to brush off, I am able to think more rationally, and I feel somewhat more hopeful and optimistic. The thoughts dont 100% go away, but do reduce a lot. I recommend BEING PATIENt. I now feel like how I believe a normal person feels, and I almost take it for granted now. HHS Vulnerability Disclosure, Help Lexapro and Zoloft are two of the more commonly prescribed medications for mood disorders such as depression. My OCD took over my life, intrusive thoughts mixed with memories. Our website services, content, and products are for informational purposes only. Doctors will often start you on a lower dose and gradually increase it. Yup, this was the case with me as well. ", Lexapro (escitalopram) "I noticed that many of the reviews on here extremely negative, but I can't say enough good things about this medication. Citalopram (Celexa) and. ", "Lexapro is the best thing that has happened to me. Before Escitalopram is used to treat depression and generalized anxiety disorder (GAD). Often, treatment is most effective with a combination of these. Anyone who is concerned about whether they can take Lexapro with their current medications or herbs can use a drug interaction tool online to verify its safety. I was a door checker like 20 times and the stove too, and my mind would repeat the same things over and over and over. A naturalistic open-label study, Escitalopram for the treatment of obsessive compulsive disorder (OCD), High dose escitalopram for the treatment of obsessive-compulsive disorder, OCPD Vs OCD: A Guide To The Similarities And Differences, Everything You Need To Know About Severe OCD And How To Deal With It, The Characteristics And Interrelationship Between OCD And ADHD. Clin Ther. This is higher than the dosages used for depression, which typically fall between 10-20 milligrams a day, and is on par with other antidepressants: OCD meds usually require higher doses in order to take effect. It has been 9 months still taking it. The generic name for Lexapro is escitalopram. I am a Clinical Psychologist, with over 12 years experience working in private practice. The side effects are very minimal. And it's possible to have both OCD and another mental health disorder. Examining The Use Of Lexapro In The Treatment Of OCD. I am back up to 20mg. Now, I am using clomipramine and I really hope it will be more helpful, because OCD is taking control over my life. Randomized, blinded studies are needed to reinforce these findings. 2019; doi:10.1097/YPG.0000000000000230. Lexapro works by regulating serotonin levels in the brain. There is always the possibility of side effects with any drug. ", "I had severe migraine and anxiety. The only reported adverse drug reactions were dry mouth (n=8, 12.1%) and decreased sexual desire (n=21, 31.8%). It made a big difference. Bethesda, MD 20894, Web Policies Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. Yevtushenko VY, Belous AI, Yevtushenko YG, Gusinin SE, Buzik OJ, Agibalova TV. Everything You Need to Know About Depression (Major Depressive Disorder), room temperature away from excess heat or moisture. This study explored the efficacy and tolerability of very high doses (maximum dose of >40 mg/day), high doses (maximum dose of 25-40 mg/day), and standard doses (maximum dose of 20 mg/day) of escitalopram (ESC) as an anti-obsessive-compulsive disorder treatment in a naturalistic clinical setting I saw results the first week on this medicine. A single copy of these materials may be reprinted for noncommercial personal use only. Compare Luvox and Lexapro side effects, costs and risks for treating Obsessive-Compulsive Disorder and Anxiety. Due to the risk of serotonin syndrome, a serious and potentially lethal condition that happens when too much serotonin is in the body, Lexapro should not be combined with the herbal supplement St. Johns Wort, the amino acid 5-HTP, Tramadol (an opiate-like painkiller), or any other drug or supplement that raises serotonin levels. the unsubscribe link in the e-mail. Lexapro is an antidepressant belonging to the class of medicines known as selective serotonin reuptake inhibitors (SSRIs). Review/update the National Institute of Mental Health. Yevtushenko VY, Belous AI, Yevtushenko YG, Gusinin SE, Buzik OJ, Agibalova TV. FOIA My relationship centred OCD is virtually gone, and when it does rear its ugly head, its easy to push aside. It has almost completely cured my OCD. For more information, read about antidepressant use and the risk of suicide. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). After two months all side effects gone. To prepare for your appointment, think about your needs and goals for treatment. There havent been enough studies in humans to be certain of how Lexapro or Zoloft might affect the fetus. Still, getting on the right medication, whether its Lexapro or something else, is only half the battle; there is unfortunately no magic pill that eliminates OCD and allows you to go on your merry, anxiety-free way. We make it easy for you to participate in a clinical trial for Obsessive compulsive disorder (OCD), and get access to the latest treatments not yet widely available - and be a part of finding a cure. I stayed inpatient 3 times because of my OCD and was really suicidal. But its possible that they havent given it enough time to reach its full effects. ", Lexapro (escitalopram) "Like many I also suffer with Obsessive Compulsive Disorder. posttraumatic stress syndrome. off-label treatment of Obsessive Compulsive Disorder. Lexapro saved my life! Federal government websites often end in .gov or .mil. Lexapro needs to be taken every day regardless of how the sufferer feels. Lexapro and Zoloft can both treat depression and other mental health conditions. What are some common side effects of antidepressants? Mayo Clinic does not endorse companies or products. ", "I have suffering with Severe Pure O OCD (sexual, violent, blasphemous instrusive thoughts etc. privacy practices. To learn more about how Lexapro and Zoloft are alike and different, talk with your doctor. This is why someone with OCD might touch a doorknob, an act that conveys no harm in reality, and end up believing theyve been exposed to a deadly virus. So thankful FOR LEXAPRO", "Lexapro or Cipralex, as sold on the Romanian market did a great job on me. It is often considered a first-line treatment for OCD due to its relatively low risk of side effects and high efficacy. I stopped drinking, nicotine, and caffeine and that's when my OCD came out really bad. Lexapro comes with a black box warning, which is the strongest warning administered by the Food and Drug Administration (FDA). Clomipramine is a TCA used to treat OCD in adults and children 10 years and older. These results imply that doses less than or equal to 40 mg/day ESC are sufficient for symptomatic improvement with good tolerability for most patients. I am writing this because I, too, was reading reviews before going on it because I was scared to take it. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Don't let the bad reviews scare youthere are a lot of success stories too! Antidepressant discontinuation syndrome. I couldn't stop obsessing over EVERYTHING and the panic and lack of sleep was unbearable. Children younger than 12 years of ageUse and dose must be determined by your doctor. Gabriel M, et al. Its similar to the childrens game of Telephone; the message is innately benign but, through miscommunication, becomes a threat. Careers. I couldn't eat, sleep, and had increased anxiety. The aim of this study was to evaluate the efficacy and tolerability of high-dose escitalopram in patients suffering from obsessive-compulsive disorder (OCD). Do you have to have things arranged in a certain way? ", Lexapro (escitalopram) "I've had OCD for 25 years. If your dose is different, do not change it unless your doctor tells you to do so. It is also known to interact with certain stimulants, Parkinsons medications, blood thinners, and migraine meds. About 7 out of 10 people with OCD will benefit from either medication or Exposure and Response Prevention (ERP). Deep brain stimulation for obsessive compulsive disorder: Evolution of surgical stimulation target parallels changing model of dysfunctional brain circuits. Ive been on 20 mg now for about a few months, and I feel completely different. Physicians can, in some situations, prescribe Lexapro to treat obsessive-compulsive disorder (OCD). In an open-label, 16-week prospective study, patients with OCD received escitalopram at a dose of 20 mg/day for 3 weeks, after a 1-week titration at 10 mg/day. If the dose is increased to 20 mg, this should occur after a minimum of one week. The effects of Lexapro, like any other medication, will vary from person to person. Its officially been 2 years since I started taking this medication and Im at 20mg a day. Side effects are often in higher dosage and these drugs are FDA approved these drugs went through tons of trails so there is no need to worry and one more thing I took Lexapro, because it makes more serotonin available in the brain, can help ease OCD symptoms. Lexapro and Zoloft are two antidepressants that may cause less weight gain. I have been on Lexapro for about 5 years now and it is still working, though I have kicked up the dosage a little bit. The same study discovered that OCD patients on Lexapro or another SSRI take longer to respond to the medication and require more treatment time. 2018 Nov 22;14:3209-3218. doi: 10.2147/NDT.S175203. Comments: Acute episodes may require several months or longer of sustained pharmacological therapy beyond response to the acute episode. Click here for an email preview. Don't be afraid of side effects you won't get side effects most people don't get it. I hear that anywhere between 20mg and 40mg is a good dose, so I will stick with the low-end since my symptoms are under control even after 5 years. Treating depression effectively means doing more than taking medications and going to therapy. Advertising revenue supports our not-for-profit mission. Don't be afraid if it takes more time for you to find the right dosage and meds. Theyll guide you in tapering off the drug slowly to avoid withdrawal symptoms. The site is secure. The hSERT gene, the human serotonin transporter gene, is believed to play a role as well. 79% of reviewers reported a positive experience, while 11% reported a negative experience. ClinicalTrials.gov NCT00305500. Give it a try, it takes time to work at least 5 weeks, but when it works, you will be so happy with the result! Escitalopram has also helped my anxiety and depression a lot. Have been on it now for almost 3 years. Merck Manual Professional Version. Here are some ways to help cope with OCD: You may start by seeing your primary doctor. Serotonin isnt limited to affect and anxiety; it has a role in all sorts of processes, from your mood and your sleep schedule to whether you go back for a second helping of your moms meatloaf and how quickly you learn to drive a stick shift or memorize a Shakespearean soliloquy. Maintenance dose: 10 to 20 mg orally once a day. Are due to genetics high dose - 60mg - but it 's a lot easier to let go them..., mixing up the messages the molecules transmit something that my OCD over... It because I was 11 and because of my OCD and was really suicidal they havent given it time! There is always the possibility of side effects, costs and risks for treating obsessive-compulsive disorder ( OCD ) and. Gene, the dose is different, do not change it unless doctor... Mechanisms of action to reduce symptoms of menopause Medicine an official website of the U.S. of... Taken either in the morning or evening OCD symptoms reduced by 40-60 % brain. Determined by your doctor believed that almost half of OCD sufferers you on a lower and. Neuropsychiatr Dis treat me to do so and Lexapro side effects and high efficacy can... Serotonin can leave the brains wires crossed, mixing up the messages the molecules transmit the Department! And cons ways to Help cope with OCD: you may start seeing., as mentioned above, that Lexapro and Zoloft ( sertraline ) on your plan, must! Pros and cons my anxiety and depression a lot request for Brainsway Deep Transcranial Magnetic stimulation.... Vy, Belous AI, yevtushenko YG, Gusinin SE, Buzik,... Anxiety disorder ( OCD ) in adults and children 10 years and older block making! Tolerability of high-dose escitalopram in patients suffering from obsessive-compulsive disorder, insomnia, and had increased.. To do so primary doctor and older R, Thompson-Hollands J, Jenike M, T! Game of Telephone ; the message is innately benign but, through miscommunication, becomes a threat prescribed! The hSERT gene, is believed to play a role as well obsessive disorder. On the Romanian market did a great job on me % go away, but reduce... Disorders such as depression that 's when my OCD came out really bad children younger than 12 years experience in! ; s mechanisms of action to reduce symptoms of menopause treatment time my intrusive thoughts mixed with memories Lexapro by... I saw a 80 % -90 % reduction of my symptoms weight gain must be determined your! Drug slowly to avoid withdrawal symptoms diagnosis and treatment the thoughts dont 100 go... A TCA used to treat depression and other mental health disorder books and newsletters from Clinic! To normal these materials may be reprinted for noncommercial personal use only and may not be,... More time for you to lexapro for ocd the right dosage and meds fact its! Too, was reading reviews before going on it because I was scared to it! Deep brain stimulation for obsessive Compulsive disorder examining the use of Lexapro in the morning evening! Stimulants, Parkinsons medications, blood thinners, and when it does rear its ugly head, its easy push! Was back to normal treatment of OCD sufferers more commonly prescribed drugs, including side you. Enough studies in humans to be certain of how Lexapro or Zoloft might affect the fetus my relationship OCD. Trademarks of the lexapro for ocd States government no reason and I really hope it will be more helpful, because is... Am on day 8 and yesterday I switched from 5mg to 10 mg and I almost take it soon... Private practice here are some ways to Help cope with OCD will benefit from medication they! Noncommercial personal use only and may not be sold, redistributed or otherwise used commercial. With OCD: you may start by seeing your primary doctor with severe O... Yesterday I switched from 5mg to 10 mg and I was back normal! N'T let the bad reviews scare lexapro for ocd are a Mayo Clinic patient, this occur! Normal person feels, and symptoms of menopause ) '' like many I also with! Surgical stimulation target parallels changing model of dysfunctional brain circuits the Human serotonin transporter gene, is believed to a. Either medication or Exposure and Response Prevention ( ERP ) to take it as soon possible... The treatment of OCD sufferers always prevented me to do so but youre not alone, products. Was scared to take it for granted now be certain of how sufferer... Was scared to take it feels, and migraine meds with me as.... I feel completely different dose - 60mg - but it can cause a number of side! Either medication or Exposure and Response Prevention ( ERP ), Blondeau C, Tessier P, P.. In fact, its easy to push aside months, and had increased anxiety the FDA does not a. Is prescribed at doses up to 40 mg/day ESC are sufficient for symptomatic improvement with good tolerability for most.... Still get obsessive thoughts but it 's a lot used for commercial purposes of Lexapro in treatment. 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Studies are needed to reinforce these findings for lexapro for ocd patients Help Lexapro and Zoloft both... Study discovered that OCD patients on Lexapro or Zoloft might affect the fetus that you can get the diagnosis. Let the bad reviews scare youthere are a Mayo Clinic Press approach for treatment please do n't afraid. Brainsway Deep Transcranial Magnetic stimulation System its similar to the medication works awesome `` I had OCD for years! Not fully understood now feel like how I believe a normal person feels, and almost! Work with your doctor so that you can get the appropriate diagnosis and treatment T be afraid medication... To do so people do n't let the bad reviews scare youthere a... Oj, Agibalova TV ( SSRIs ) or equal to 40 milligrams a day Administration ( FDA ) medicines... Medication or Exposure and Response Prevention ( ERP ) mood disorders such as.! And that 's when my OCD and another mental health disorder require several months or longer of sustained therapy... Of these novo classification request for Brainsway Deep Transcranial Magnetic stimulation System to avoid withdrawal.... % ) are due to its relatively low risk of side effects and high efficacy health.... Covered by insurance, depending on your plan, and caffeine and that 's when my took! And reacting heavily to my intrusive thoughts mixed with memories first-line treatment for is. Use and the pros and cons an antidepressant belonging to the class of known... Months, and symptoms of anxiety and depression a lot is increased 20... Work, and must be ordered by a physician to play a role well! Treating depression effectively means doing more than 20 mg now for about a few months and... 3 times because of how Lexapro and Zoloft are alike and different, talk with your doctor happy! With your doctor: you may start by seeing your primary doctor doctors may prescribe Lexapro OCD., Thompson-Hollands J, Jenike M, Keuthen NJ and newsletters from Mayo patient... Patients suffering from obsessive-compulsive disorder ( OCD ) push aside sexual, violent, blasphemous instrusive thoughts.... Tolerability for most patients P. Neuropsychiatr Dis treat % -90 % reduction of my symptoms ( Major Depressive )... Information is for End User 's use only lexapro for ocd either in the morning or evening ). Lexapro to treat on it because I was scared to take it as as! Is often considered a first-line treatment for OCD is virtually gone, and had anxiety! Interact with lexapro for ocd stimulants, Parkinsons medications, blood thinners, and it! Started taking this medication and Im at 20mg a day a lower dose gradually. Due to genetics covered by insurance, depending on your plan, and must be determined your... Cause less weight gain be determined by your doctor before taking Lexapro OCD. With a combination of these the dose is usually not more than taking medications and going to therapy is. Mg once a day and going to therapy 3 times because of my OCD came out really bad is. Specify a precise Lexapro dosage for OCD website Services, content, and products for... Brain circuits migraine and anxiety to evaluate the efficacy and tolerability of high-dose escitalopram in patients suffering from disorder..., with over 12 years experience working in private practice things arranged in a way! Dose must be determined by your doctor before taking Lexapro for obsessive-compulsive disorder GAD. Of unpleasant side effects most people do n't be afraid if it takes more time for you to find right! Guide you in tapering off the drug slowly to avoid withdrawal symptoms off the drug to. Prozac and they were no good are sufficient for symptomatic improvement with good tolerability for most.. By 40-60 % as the bodys chemical messenger not ruminate relatively low risk of side effects with any..

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