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For a 5mg dose, you now need 5 16.67 = 0.3mL (30 units) instead of 20 units

The strongest evidence for glutamate homeostasis as a cause of OCD derives from the genetic association of the Slc1A1 glutamate transporter gene with OCD risk

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While the diagnosis is primarily clinical, physical exams and laboratory tests may be used to exclude underlying medical conditions that mimic depressive symptoms, such as thyroid dysfunction or vitamin deficiencies [30]