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You should be seen at minimum monthly while on combination therapy, with more frequent contact during the initial overlap period
First introduced in 1927, insulin shock therapy was devised by Manfred Sakel, an Austrian neuropsychologist, after he observed an improvement in the psychiatric condition of one of his patients with a morphine addiction when he recovered from a hypoglycaemic coma accidentally induced by too much insulin
It remains unclear whether such symptoms arise from the medication itself, the physiological stress of rapid weight loss, caloric restriction, changes in eating patterns, or pre-existing mental health conditions
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