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Methylene blue must not be used in combination with selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), and monoamine oxidase inhibitors (MAOIs)

If they have a certain level of symptoms, symptom severity, then we will prescribe them hormone therapy and get them started to see how they feel after starting hormone therapy

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Recent studies have suggested that coxsackie virus B3(CVB3), a enterovirus with single-stranded RNA molecule, might be a contributing factor in the pathogenesis of Keshan disease (154156)