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Built around the patient, not the insurance algorithm Insurance-based care often limits time, options, and depth of evaluation

Ye et al., 2017)

Systemic infections including Epstein-Barr virus (infectious mononucleosis), cytomegalovirus, toxoplasmosis, HIV, tuberculosis, cat scratch disease (Bartonella), and certain sexually transmitted infections should be considered based on clinical context and risk factors

Contact your prescriber if: (1) you vomit more than twice in one week, (2) nausea prevents you from eating or drinking adequately for more than 48 hours, (3) symptoms worsen instead of improving after 8 weeks at a stable dose, or (4) you develop new symptoms like severe abdominal pain, bloody vomit, or signs of dehydration