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Similar to dopamine, amphetamine dose-dependently increases the level of synaptic norepinephrine, the direct precursor of epinephrine. The 2012 study concluded there were no significant adverse effects. Strict food supervision is typically required starting around the age of three in combination with an exercise program. Amitriptyline may cause problems if taken during pregnancy. Teenage girls were unlikely to be taking the pill, and did not seek doctors' prescriptions for it. Academic discussions of acupuncture still make reference to pseudoscientific concepts such as qi and meridians despite the lack qsymia vs adipex of scientific evidence.

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