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The goal of the titration schedule is to find the lowest effective dose, not to race to the maximum

de Boer IH, Bangalore S, Benetos A, et al

Common side effects (usually mild and short-term): Nausea or fatigue Digestive changes like bloating or constipation Less common but serious risks: Pancreatitis Gallbladder issues Potential side effects are one of the reasons why regular monitoring and expert guidance are recommended

Alcohol is also known to irritate the stomach lining and affect digestion

For severe depression, CBT and DBT can both be effective depending on the individual's symptoms and needs