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doi: 10.1097/MD.0000000000000952 27 ArmstrongC

Both ECT and ketamine are thought to open a window of plasticity during which the brain is more receptive to psychological input, creating an opportunity to augment biological treatments with psychotherapy, as shown in a study combining ketamine with cognitive-behavioral therapy [261]

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Initial baseline or addressing deficiencies: Every 6 months until optimal Maintenance with good health: Annually Chronic conditions or malabsorption: Every 46 months Major dietary or lifestyle changes: 34 months after changes Why early detection matters Micronutrient deficiencies often develop silently over months or years before clinical symptoms appear