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Yes, over-the-counter topical anaesthetic creams containing lidocaine can be applied 30-60 minutes before injection to reduce sensation, though most people find this unnecessary

Annual Physical Comprehensive health assessment performed yearly to monitor overall well-being

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It also wont fix poor sleep hygiene or irregular light exposure

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For this reason, most patients transition to a lower, ongoing maintenance dose after the initial 23 month intensive phase, rather than stopping treatment altogether