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We have asserted at every point in this process thats a great idea if you can demonstrate to us how that makes patients safer, and the board has yet to be able to enunciate a reason for wanting to exceed those national standard," said Brunner

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When Lower Doses May Be Clinically Discussed Some clinicians may consider individualized dose adjustments in situations such as: Significant gastrointestinal intolerance Gradual re-initiation after interruption Unique patient-specific clinical considerations These decisions are individualized and should not be made independently

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In most cases, simple and repeatable routines are easier to maintain long-term and often provide more consistent support overall