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Use with NSAIDs, aspirin, warfarin, or other drugs that affect coagulation may potentiate the risk of gastrointestinal or other bleeding (5.7) Angle-Closure Glaucoma: Angle-closure glaucoma has occurred in patients with untreated anatomically narrow angles treated with antidepressants (5.8) Hyponatremia: Has been reported with PROZAC in association with syndrome of inappropriate antidiuretic hormone (SIADH)

I also remember reading that some people feel the liquid going in more if it's straight from the fridge

doi: 10.1016/j.tips.2020.01.011 38 YadavBWennerbergKAittokallioTTangJ

Adjusting the dose yourself

Is there another option

Increased Metabolism Your metabolism relies on multiple systems working in harmony, and one small shift can have big consequences