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If left untreated, a chemical imbalance may increase in severity as time goes by. I think the problem was I had already taken some earlier inside the day and overlooked it. It is estimated that around ten percent of FAA approved pilots experience depression. Since many fat people and larger men have arms too large for that average cuff, this can be a significant factor. Drug therapy has flourished using the current epidemic; the most commonly used drugs such as Effexor, Paxil, Zoloft, Wellbutrin yet others work by increasing the availability from the brains chemical messengers, these are neuro transmitters like serotonin and norepinephrine.
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