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Patients require evaluation before starting DMARDs to rule out contraindications to the medications (meaning the patient should not take a certain medication due to the harm it would cause) and monitoring while using them to watch for serious side effects

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As such, the American Academy of Otolaryngology advises against recommending popular supplements such as zinc, magnesium, lipoflavonoids, and melatonin for the treatment of chronic tinnitus

Treatment protocols are personalized based on each clients medical conditions

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