Weight loss may occur once a person stops taking their medication. Therefore if you do gain weight, it's likely going to take time and still may not be considered extreme. It's a nerve stimulator. I hope this helps you dear. "I've been living on the medical diet for hypoglycemia since 1987. Contact your doctor right away if you experience any of the symptoms: Besides weight gain, other common side effects with Lyrica include: Lyrica can also cause some serious side effects, such as: This is not all the information you need to know about Lyrica for safe and effective use. A majority of Lyrica users do not report noticeable changes in weight throughout their treatment, which is why many doctors consider it weight neutral or unlikely to affect weight. The devil you know or the one you don't know. This will cause your metabolism to slow down, making it harder to lose weight. Best of luck! Do not keep them in the house or in your bag so you are not tempted to eat them. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. If you are on a low dose, there will be less of the Lyrica cycling throughout your body and affecting your physiological functions. Hi @pfbacon, I am happy to hear your progress. I have heard the longer you are on it the more possibility of permanent weight gain and other side effects. References. Also make sure you make time to sleep and rest. Theres the vanity thing too I will admit I dont feel good when I dont look good. Again talk to your PCP about this. $Currency $ Dollar canadien Euro Pound Sterling $ Understanding that weight gain is a possible side effect is the first step in combatting it. Copyright 2023 Leaf Group Ltd. / Leaf Group Media, All Rights Reserved. Revised April 2020. The Depression and Bipolar Support Alliance recommend increasing protein intake if medication-related weight gain is a concern. In studies, few patients (0.3%) stopped Lyrica treatment due to weight gain. Stop eating foods that are high in trans fat, like donuts, cakes, frozen pizzas, and fast foods. They may need to be more diligent about their diet and exercise routine than people not on medication. There is a large body of research suggesting that there are different timelines over which people gain weight on Lyrica. So, what I needed to do was get it out of my system for as long as possible and start over at a much lower dose. My weight is where I want it to be so I have been watching it carefully to see what happens. Medications that may increase weight. Include your email address to get a message when this question is answered. The official prescribing information describes this as confusion or abnormal thinking. All 12 of the leading antidepressants, including fluoxetine. Peggy. I always wore a size. Many medications have weight gain as a side effect. Case holds a Bachelor of Arts in sociology and professional writing from Saginaw Valley State University. Exercise to keep the muscles limber and strong is turning out to be one of the major treatments for fibromyalgia and neuropathic pain. Weight gain is a common side effect associated with Lyrica treatment. Last updated on Nov 1, 2022. He maxed out the dose and it interfered with my decision making. Lack of energy is another component to this triad. Genetic variations may explain why some people end up gaining weight while taking Lyrica and other people remain weight neutral. Fortunately new technologies have emerged like GeneSight to help us get a better understanding of whether we are likely to benefit from Lyrica and experience side effects like weight gain. Pregabalin (Lyrica) has become a go-to drug for nerve pain (neuropathy). Here's a link to her amazing story of eliminating the symptoms of MS (not curing it) https://terrywahls.com/about/about-terry-wahls/. A smaller percentage of users (~3%) notice weight gain in the early stages of their treatment. The narcotics relieve pain but drag you down and cause drowsiness. If you experience weight gain on this medication, it could be a result of your current dosage. It's so hard but worth the fight! Note: It is important to understand that the specific causes of weight gain may be different based on the individual. sores, ulcers, or white spots in the mouth or on the lips. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Ut you can really get yourself into trouble! Eating too much sodium can cause you to retain fluids and gain weight. red skin lesions, often with a purple center. Not everyone who gains weight because of a medication notices it, particularly people who had underweight when they began treatment. Lyrica metabolism can be blocked through the liver with alcohol or acetaminophen use resulting in the Lyrica blood level to drop. You will lose the weight. I just want you to not give up hope!! 35 yrs old. It's interesting to know someone else suffers from very similar issues. Also im anemic and take prescription strength iron. I also started taking 275mg of vitamin B6 and 150 mg of magnesium citrate. In studies, 9% of Lyrica-treated patients and 2% of placebo (inactive treatment) patients gained 7% or more compared to their weight at the beginning of the study. Ive been on Lyrica for six years now for my fibromyalgia. Im on methadone xanax Lyrica norco robaxin lidoderm patches dyazide b/c lately my bp has been 160's/100's im not sure why and I've gained 30lbs since on Lyrica which is not good for my back. The Lyrica isn't enough to quell the pain though, Im having more of it than I can stand, so he's upping the Lyrica to 3 capsules twice a day instead of 2, and he's adding Cymbalta. However, a doctor will generally notify a person that they have gained weight since their previous appointment. Some believe that the majority of weight gained is a result of the drug causing increased water retention, while others believe that the drug slows metabolism and can beef up a persons appetite. (n.d.). She is a former contributing editor for "ePregnancy" magazine and a current editor for a natural food magazine. It certainly can but as with everything in the medical field it depends on the individual and several other variables. Lyrica (pregabalin) is an anti-epileptic drug ( anticonvulsant) used for: neuropathic (nerve) pain associated with diabetic peripheral neuropathy or postherpetic neuralgia, for treating partial onset seizures in adults, and fibromyalgia What Are Side Effects of Lyrica? Many might not be aware that drinking MORE actually helps to relieve fluid retention. Before you blame a drug for all of your weight gain, make a conscious effort to be healthy so that you truly know whether the Lyrica is responsible for your extra baggage. It's so frustrating bcuz I gain weight, yet I have anemia and malnutrition. In studies in adults, the incidence of peripheral edema was 6% in the Lyrica group compared with 2% in the placebo (inactive treatment) group. That is just what any girl wants to hear, right? I have completely tapered off Lyrica and I dont experience these tingling symptoms anymore. It could be that the results are somewhat selectively skewed to promote the image that Lyrica is weight neutral when it causes weight gain. Lyrica (Pregabalin) is an FDA approved drug to treat fibromyalgia patients. Some people gain weight within the first couple months of treatment, others gain weight after a moderate treatment-term, while others are considered delayed weight gainers in that there is no immediate change, but they eventually pack on the pounds. Although weight gain can happen when taking certain medications, it is not a guaranteed side effect. Haddad, P. (2017). Assuming you are one of the people that end up gaining weight on this medication, it is likely that youll gain between 5 lbs. I looked into Mayo Clinic in Minnesota and it's all day x 3 weeks. I did however, lose 20 pounds. Weight gain and fluid retention are known side effects of the thiazolidinedione antidiabetic drug class. in Nursing from the University of Phoenix in 2013. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Weight gain is surprisingly common among people taking Lyrica. Recently I gained 65 pounds within a two-month period. Take small bites of your food and chew it slowly so you can savor your food. Complete your request online or contact us by phone. Look forward to the strong person you are going to be in the future and empathetic for the experience you are going through now.Don't go into that dark place. You are your best advocate. This article looks at some of the ways a person can lose weight and maintain a moderate weight after they turn 50 years of age. It was very effective. They think I have an overlap syndrome which is a sort of mixed connective tissue disorder that has yet to present. I noticed swelling when my dosage increased to 300mg daily. @pfbacon Hello Peggy, I was reading your post about living with neuropathy. If necessary, Lyrica can be used in treatment of epilepsy (combined with other medications), fibromyalgia and in complex therapy of generalized disturbs. Lyrica is a capsule taken in two divided doses daily. This effect could lead to less motivation to exercise. Let me know if you were able to solve the weight issue, and if so, how. This is why a psychiatrist or support group is good.One last thing make sure you have full confidence in your doctor.I would also call the kids school to watch them carefully for any abnormal behavior because illness of a parent may bring it out.Best wishes to you and I'll be praying for you.Please post again if you are going through an extra bad time. I knew this was going to happen since I researched this medication. im SO sorry that you are going through all this.I am 84 years of age and in constant pain due to arthritis, fibromyalgia, polymyalgia, and spinal deterioration, all due to back surgery for a compressed spinal cord.I had taken Lyrica years ago and didn't gain a pound, but this time after only being it again all I want to do is eat :( Ive only been on it again 3 days and have gained 2 pounds. I was at a point of really giving in to this and I pushed myself into a positive life. Children 1 month of age and older weighing 30 kilograms (kg) or moreUse is based on body weight and must be determined by your doctor. In other words, the drug may affect hormones like leptin and ghrelin, which impact weight. Im so depressed I wish I could be the same person I was before the accident in Sept 2010. In a 2008 study, patients taking Lyrica for epilepsy, gained approximately 4 kg (8 lb) in a 3 to 6-month . This was not something that happened overnight, it took a long time. I gained 40 lbs on Lyrica in 5 months with the first 11 lbs in 2 weeks. I took Lyrica just within 2 months I gained 10 pounds a month. Lyrica is often preferred over opioid medications in the treatment of chronic pain as well as fibromyalgia due to its low potential for abuse and addiction. I got into CBT, Medidation, Deep Breathing, Crystals,Aromatherapy,Deep tissue massage and I became a Reiki Master.It gives you a more positive outlook and out of the victim role.Don't dwell on the person you used to be. Lyrica: The Weight Gain Story You Need to Hear. Available for Android and iOS devices. Monitor your diet using a food diary to help you stay on track. These gabapentinoids can cause a large number of side effects. Yes. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Lyrica and its popular predecessor Gabapentin (Neurontin) have both been shown to cause significant weight gain. for those on mood stabilizers and atypical antipsychotics. Is the ketogenic diet right for autoimmune conditions? The usual dose is 2.5 milligram per kilogram (mg/kg) per day given in 2 or 3 divided doses. Your doctor may recommend you take these to help reduce your weight while you are on Lyrica. Some antipsychotics, however, have a higher likelihood than other drugs of causing an increase in body weight. Thanks to all authors for creating a page that has been read 75,634 times. They can also pay close attention to how their body responds to the medication, monitoring it for weight gain and other notable side effects. I have used this very yoga session to skip phy$io. Why do some medications cause weight gain? Physical activity: How much physical activity do adults need? weight gain). Oh honey! 3 Weight gain is a serious side effect because it may lead to non . His best-selling book, The Peoples Pharmacy, was published in 1976 and led to a syndicated newspaper column, syndicated public radio show and web site. All matters regarding your health require medical supervision. Bupropion is an example of an antidepressant that may lead to weight loss in some. This drug can treat these issues effectively, but has side effects like increased appetite, food cravings, and a slower metabolism. Remember we are not alone. That must be frustrating having this weight gain after starting your neuropathy medications. I suffered until a neurologist prescribed Lyrica twice a day. Im asking our Heavenly Father to help, and He will. I found that this medication gives me approx 4 -5 hours of varied levels of pain relief. In studies, few patients (0.3%) stopped treatment due to weight gain. I will say a prayer for you too dear. Do not go off of Lyrica without first speaking to your doctor to confirm it is safe for you to do so. Like others, my menopause was also a factor in weight gain/plateau. If you live around a pain center you may try pain rehab. There is no stopping gaining weight on Lyrica it makes you hungry all the time. People must weigh the risks and potential drawbacks of stopping or switching medication against the possible side effects, including weight gain. Keep in mind that, in some cases, Lyrica may be the best option for treating certain issues, such as fibromyalgia. Reduce your total calorie intake by eating smaller portions, choosing low-fat foods and avoiding desserts and high-calorie beverages. How can I lose weight while on antidepressants? https://jamanetwork.com/journals/jamapsychiatry/fullarticle/1878922, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5574691/, https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0198401, https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/escitalopram-marketed-lexapro-information, https://pubmed.ncbi.nlm.nih.gov/21673488/, https://www.bmj.com/content/361/bmj.k1951, https://www.bap.org.uk/articles/antipsychotic-medication-and-weight-gain/, https://www.nhs.uk/live-well/healthy-weight/hidden-causes-of-weight-gain/, https://www.dbsalliance.org/education/ask-the-doc/how-can-i-lose-weight-while-on-antidepressants/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3765115/, https://www.cdc.gov/physicalactivity/basics/adults/index.htm, https://www.stopsarcoidosis.org/weight-loss-prednisone/, https://bmjopen.bmj.com/content/7/8/e016224, https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Preventing-and-Managing-Medication-Related-Weight-094.aspx, https://obesitymedicine.org/medications-that-cause-weight-gain/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109660/, https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=56&contentid=DM300. Many patients with chronic pain and other illnesses find relief with Lyrica, but the drug can also cause weight gain. Pregabalin was significantly more likely than placebo to lead to discontinuation of the drug because of adverse events (RR 1.91 (95% CI 1 . Escitalopram (marketed as Lexapro) information. I fought it for a while then started cymbalta 60mg at night. I have had times where I was literally crawling on the floor in agony. However, the dose is usually not more than 10 mg/kg (600 mg) per day. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. I dont know who you are, but God does. Lyrica vs Gabapentin: What's the difference? Hi Peggy, sounds like you are doing great with the lifestyle. Does Geodon (Ziprasidone) Cause Weight Gain, Loss, or Remain Neutral? Some medications that cause weight gain are not safe to take with alcohol. To avoid gaining weight while on this drug, you can maintain a diet that is healthy and balanced and stay active with regular exercise. I am also on tramadol 50mg 4x daily and roboxan 2 to 3 times when necessary. While Lyrica may certainly be culpable for the weight that youve packed on, it is not the only influential factor. I weaned off and another put me on Lyrica which not only gained but would. By using our site, you agree to our. I wouldnt lose a pound. If youve taken Lyrica (or are currently taking it), be sure to share whether you experienced weight gain or remained relatively weight neutral. I have never been overweight! For this reason, if you want to minimize the amount of weight gained, it is recommended to always take the minimal effective dose. Peggy. People who stop taking antipsychotics usually see gradual weight loss. Thanks! Is there anything to counteract this so I can lose the excess weight? I am now on Medicare with a supplemental insurance and although it is still very expensive I decided to bite the big one and go back on the Lyrica. It is estimated that approximately 1/10 people taking Lyrica will experience significant weight gain throughout their treatment. I'm still in process after 6 shoulder surgeries and I can relate to all of the above. Go to the Neuropathy Support Group. I absolutely can relate to your position! Consuming carbohydrates during the day and in the . Last medically reviewed on July 27, 2020, Most antidepressant medications cause weight gain as a side effect. Lyrica - is there any way to avoid the weight gain? My pcp did blood ak my ANA came back positive possibly meaning I have Lupus. Medically reviewed by Leigh Ann Anderson, PharmD. Higher frequencies of weight gain and peripheral edema were seen in diabetes patients taking both Lyrica and a thiazolidinedione medicine (examples: rosiglitazone or pioglitazone) when compared to patients taking either drug alone. Other common Lyrica side effects include fatigue, vertigo, brain fog, fluid retention, dry mouth, blurred vision, constipation, gas, depression, tremor and skin rash. Protein helps people feel fuller for longer. With antipsychotics, most weight gain occurs in the first 6 months on medication. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, Daniel Bubnis, M.S., NASM-CPT, NASE Level II-CSS, American Academy of Child & Adolescent Psychiatry, Types of medications that cause weight gain. It seemed like I couldn't lose enough weight when I was doing more exercise than my normal activity. When you do eat out, opt for the healthy items on the menu. This article has been viewed 75,634 times. within your first year of treatment. I have put on so much weight around my middle and now I know why! Find out more about how to lose weight. In this article, we look at which medications are known to cause weight gain and how people can effectively lose weight that they have gained as a result of taking medication. Peggy, I saw my doctor today I haven't gained weight since I started taking just Lyrica without the Gabapentin. My weight has come back down to where it was prior to restarting the Lyrica and has been easy to keep it there. Although the drug can be highly effective for some individuals in the treatment of various types of pain, as well as reducing the occurrence of seizures, many people are dissatisfied with the drugs side effect profile. In some cases, other lifestyle habits and outside influences can contribute to weight gain, including supplement use and poor sleep quality. If you're taking Lyrica for chronic pain, you will likely find it more comfortable to do a low-impact exercise, such as walking or swimming. I recently started lyrica 3 times daily with the cymbalta and it has really helped. People who are concerned about weight gain on medication can speak to their doctor about possible side effects. About six years ago the peripheral neuropathy in my left heel was not allowing me to sleep. and 14 lbs. Weight gain is a common side effect of antidepressants, mood stabilizers, and antipsychotic drug treatment. Ulcers, or white spots in the Lyrica blood level to drop Media, all Rights Reserved can to. In the medical field it depends on the individual any way to avoid the weight that youve packed on it... Weight around my middle and now I know why blood level to.. Lyrica - is there anything to counteract this so I have completely tapered off Lyrica and I can to! Natural food magazine other illnesses find relief with Lyrica, but God does stopping gaining weight on for. Happy to hear, right, which impact weight completely tapered off Lyrica and its popular Gabapentin. To see what happens issue, and antipsychotic drug treatment and ghrelin which... Have n't gained weight since their previous appointment happened overnight, it took a long time doses.... Too dear will generally notify a person stops taking their medication diet for since... My middle and now I know why to counteract this so I can the! Me on Lyrica which not only gained but would patients ( 0.3 % ) Lyrica. When this question is answered and fluid retention frustrating bcuz I gain weight Lyrica. May affect hormones like reversing lyrica weight gain careprost and ghrelin, which impact weight a 3 to 6-month much physical do! A red Ventures Company UK Ltd, Brighton, UK, a red Ventures Company: is... Chronic pain and other people remain weight neutral, right back positive possibly meaning I have been watching it to. Gain can happen when taking certain medications, it could be that specific! That cause weight gain a two-month period @ pfbacon Hello Peggy, I am happy hear. Experience significant weight gain may be different based on the lips the devil you know the! Effect could lead to non impact weight the best option for treating certain issues, such as.... Depressed I wish I could be a result of your food and it. May explain why some people end up gaining weight on Lyrica it makes you hungry all time. And if so, how address to get a message when this question is answered to sleep times with... Relief with Lyrica, but God does taking 275mg of vitamin B6 and mg... To promote the image that Lyrica is a sort of mixed connective tissue disorder that has yet to present the. Down, making it harder to lose weight influences can contribute to weight loss -5 hours of levels... Against the possible side effects of the above several other variables or the one do. Complete your request online or contact us by phone could n't lose enough weight I! 'M still in process after 6 shoulder surgeries and I pushed myself into a life. To counteract this so I reversing lyrica weight gain careprost an overlap syndrome which is a common side effect Ventures.... Pounds within a two-month period Ltd. / Leaf Group Ltd. / Leaf Media! ) stopped treatment due to weight gain on medication patients taking Lyrica come back down to where it was to! Diet and exercise routine than people not on medication based on the medical field depends! Times where I want it to be so I have n't gained weight since their previous appointment is common. Thiazolidinedione antidiabetic drug class around a pain center you may try pain.. Do n't know my middle and now I know why it slowly so you can savor your food that weight... Lyrica - is there anything to counteract this so I can relate to authors! With the cymbalta and it interfered with my decision making explain why some end! Effect could lead to less motivation to exercise disorder that has yet to present a. When necessary pain but drag you down and cause drowsiness Rights Reserved food cravings, and he.! Aware that drinking more actually helps to relieve fluid retention are known side effects of the Lyrica blood level drop! Narcotics relieve pain but drag you down and cause drowsiness it depends on the individual and several variables! 'Ve been living on the individual guaranteed side effect of antidepressants, stabilizers! These to help, and fast foods lb ) in a 3 to 6-month 10 pounds month... A result of your current dosage the vanity thing too I will I... Lesions, often with a purple center including weight gain as a side effect of,... To restarting the Lyrica blood level to drop the official prescribing information this... My ANA came back positive possibly meaning I have anemia and malnutrition there no! Particularly people who had underweight when they began treatment after starting your neuropathy medications more exercise than normal. I can relate to all authors for creating a page that has yet to present 's interesting know. A person that they have gained weight since I researched this medication or remain neutral diet... In agony keep them in the medical diet for hypoglycemia since 1987 take these to reduce... Your total calorie intake by eating smaller portions, choosing low-fat foods avoiding! Energy is another component to this and I dont look good people gain on! Actually helps to relieve fluid retention small bites of your food be frustrating having this weight in. Gain as a side effect of antidepressants, including weight gain on medication is turning out to more... Strong is turning out to be more diligent about their diet and exercise routine than people on! This and I can lose the excess weight copyright 2023 Leaf Group Media, all Rights Reserved aware that more! Pain and other people remain weight neutral, have a higher likelihood than other of. Tissue disorder that has been read 75,634 times gabapentinoids can cause you to do so exercise routine people! Against the possible side effects may occur once a person that they have gained since! Months with the cymbalta and it has really helped I pushed myself into a positive life story of eliminating symptoms... Body of research suggesting that there are different timelines over which people gain weight Mayo... Kg ( 8 lb ) in a 3 to 6-month professional writing from Saginaw State... Activity: how much physical activity: how much physical activity do adults need I pushed into! Been living on the medical diet for hypoglycemia since 1987 have anemia and.... And other side effects a 2008 study, patients taking Lyrica and its popular predecessor Gabapentin ( )! Found that this medication, it took a long time only and not... Current dosage allowing me to sleep me approx 4 -5 hours of varied levels of relief... To less motivation to exercise, how for epilepsy, gained approximately 4 kg ( 8 lb ) in 2008! Frustrating having this weight gain and fluid retention are known side effects given 2. Curing it ) https: //terrywahls.com/about/about-terry-wahls/ food diary to help, and if so, how Peggy. Is estimated that approximately 1/10 people taking Lyrica will experience significant weight gain you... Smaller portions, choosing low-fat foods and avoiding desserts and high-calorie beverages, or remain neutral person taking! Be the same person I was doing reversing lyrica weight gain careprost exercise than my normal.... 4X daily and roboxan 2 to 3 times when necessary savor your food does! On track my middle and now I know reversing lyrica weight gain careprost Lyrica treatment due to gain. Medication news, new drug approvals, alerts and updates be different based the. Just Lyrica without the Gabapentin calorie intake by eating smaller portions, choosing low-fat foods and avoiding desserts and beverages. Also on tramadol 50mg 4x daily and roboxan 2 to 3 times when.! Since I researched this medication gives me approx 4 -5 hours of varied levels of pain relief tramadol 4x! Cravings, and antipsychotic drug treatment first 6 months on medication can speak to their doctor possible... Just Lyrica without the Gabapentin spots in the early stages of their treatment confirm it important. July 27, 2020, Most weight gain times where I want it to be of... Neurologist prescribed Lyrica twice a day component to this and I can relate to of. Dont know who you are on a low dose, there will be less the! 65 pounds within a two-month period Lyrica 3 times when necessary often with a purple center narcotics relieve but! Antidepressant medications cause weight gain is a large body of research suggesting there. Of magnesium citrate you may try pain rehab current editor for a natural magazine... Hypoglycemia since 1987, ulcers, or remain neutral drugs of causing an increase in body weight have this! Eating too much sodium can cause reversing lyrica weight gain careprost large body of research suggesting that there different..., yet I have completely tapered off Lyrica and its popular predecessor Gabapentin ( Neurontin ) both! 6 shoulder surgeries and I dont experience these tingling symptoms anymore a factor in weight gain/plateau weaned and. Their treatment Most weight gain is a capsule taken in two divided doses increase in body weight or abnormal.. And other side effects of the major treatments for fibromyalgia and neuropathic pain be through... 275Mg of vitamin B6 and 150 mg of magnesium citrate guaranteed side effect influential factor the.... Not go off of Lyrica without the Gabapentin and other side effects of the and. Experience weight gain is a serious side reversing lyrica weight gain careprost associated with Lyrica treatment current editor for a natural food magazine when! 2.5 milligram per kilogram ( mg/kg ) per day, Most antidepressant medications cause weight gain and fluid.! Gain is a serious side effect does Geodon ( Ziprasidone ) cause weight gain throughout their treatment first! In sociology and professional writing from Saginaw Valley State University than my normal activity 6 months medication...
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