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More details regarding the PRMR process may be found in the PQM Guidebook of Policies and Procedures for Pre-Rulemaking Measure Review and Measure Set Review

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[18] [19] Patients should be instructed to report emergent suicidal thoughts or behaviors, and the medication should be discontinued if these occur

Red flags that require faster intervention include significant side effects (nausea, vomiting, or constipation) that limit your ability to eat nutritious foods, signs of metabolic slowdown beyond expected plateau (unexplained fatigue or hair loss), or psychological strain from stalled progress