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Ashour AM (2023) The preventive effects of ondansetron on chemotherapy-induced nausea and vomiting in adult cancer patients: systematic review from ClinicalTrials.gov

Many people report a noticeable improvement in sustained energy within hours of an IV session

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Moderate CYP3A4 inhibitors (diltiazem, naproxen, amiodarone) produce smaller AUC increases (roughly 40% or less) and generally do not require dose adjustment, though clinical judgment applies in patients with multiple risk factors for bleeding [9]