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If outside these windows, wait until the next regularly scheduled dose

However, for more extensive operations, particularly those involving the gastrointestinal tract, abdominal cavity, or requiring general anaesthesia, a more cautious approach is warranted

Physicians respond better to informed patients who understand what they are requesting and why

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And I've decided that it is so important that we address this because not addressing, honestly, it's just not an option at this point

Some patients may stay at a lower step longer if side effects require extra adjustment time