My biggest issue with this pile is the Celebrex q8h? Since

The problem is because we can’t see it, we don’t know where it’s going to be or what it’s going to do. This is a horror house. It’s like living in a scary movie. In addition, if the Li level is being followed closely, then an ACEI or ARB isn necessarily wrong either. I be more concerned about the HCTZ and I ask when the patient next Li level was due and I seen a lot of lithium but never have I seen someone therapeutic on 250 BID. My biggest issue with this pile is the Celebrex q8h? Since when?.

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