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The documented protocol starts at 2.5 mg once weekly as a tolerability dose, then titrates up roughly every four weeks 5, 7.5, 10, 12.5, up to a 15 mg maximum maintenance dose
In a 2024 Canadian cohort study, about 40% of breastfeeding women used at least one prescription medication during the first 3 months after delivery
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doi:10.2307/4066833
It's unclear why, specifically, either of these are the case
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