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Los pacientes fueron aleatorizados para seguir un ciclo teraputico durante un perodo total de ocho aos: citicolina (1,000 mg/da, por inyeccin intramuscular) o placebo (solo -bloqueadores) durante un perodo de dos meses seguido de un perodo de lavado de cuatro meses (87)

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It can happen gradually or appear suddenly, triggered by hormonal changes, genetics, stress, nutritional deficiencies, or autoimmune conditions