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We've found that contamination issues almost always trace back to a lapse in sterile technique right at the beginning
Falutz et al
A simple decision framework Lexapro is often a reasonable starting point when: Anxiety is prominent Depression and anxiety are mixed together You want a medication that often feels calmer A first-line option for adult depression is the main goal Prozac is often a reasonable starting point when: Fatigue, lethargy, or hypersomnia are central You need broader FDA-approved coverage OCD, panic, or bulimia are part of the picture You want a medication that is more forgiving if a dose is missed In practice, I also look at the texture of the symptoms
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