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25 In addition, diabetes-related microvascular complications can involve the pulmonary circulation, leading to thickening of the alveolarcapillary basement membrane and impairment of gas diffusion, contributing to reduced lung function

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Long-term SSRI use can even be associated with ..." source Difficulty falling or staying asleep, vivid dreams (Starts within first week, may resolve by week 4 or persist) "Normal side effects are nausea, mild sleep disturbances (either can't sleep or very sleepy), vivid dreams, slight increase in anxiety, light ..." source "Common side effects Nausea Sleepiness Weakness Dizziness Feeling anxious Trouble Sleeping Sexual problems Sweating ..." source Increased or new suicidal thoughts (Starts within first week, peaks in first 2-3 weeks, may resolve after stopping or dose change) "it made me extremely suicidal in the first 3 weeks of using it I barely survived, and then later it did absolutely nothing for neither ..." source "I felt severely depressed and suicidal after starting 20mg

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And re-review your why and your triggers