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In rare cases, both XR and IR formulations can lead to more severe side effects, including: Cardiovascular issues (e.g., heart attack, stroke) Psychiatric symptoms (e.g., aggression, hallucinations) Allergic reactions (e.g., rash, difficulty breathing) It is crucial to seek immediate medical attention if any severe side effects occur, regardless of the formulation being used

Michigan Department of Health and Human Services contracts with Blue Cross Blue Shield of Michigan and other organizations, each with their own requirements

However, much of the available evidence originates from laboratory and animal studies rather than controlled human clinical trials

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Ronzheimer, Paul