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It notes that research settings can track drug levels using mass spectrometry or isotope labelling, but says those methods are not available in typical outpatient care

Circadian control of the daily plasma glucose rhythm: an interplay of GABA and glutamate

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The recommended dose is 5 mcg twice daily initially, which may be increased to 10 mcg twice daily after one month based on clinical response and tolerability

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Stewart RJ, Askew EW, McDonald CM, Metos J, Jackson WD, Balon TW et al