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Split dosing may help if: single morning dose produces effects that fade by afternoon, you are using higher doses (450-500mcg) where sustained levels may help, or evening administration fits your schedule better than early morning

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This seems to have taken me back to almost the same as my first rounds

SetPoint Medical has achieved FDA approval for its novel neuroimmune modulation therapy, offering the first clinically-proven neuromodulation treatment option for rheumatoid arthritis patients