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NPH Humulin N Longacting insulin detemir Levemir insulin glargine Lantus insulin zinc suspension Ultralente Other DrugsOral acarbose Precosealphaglucosidase inhibitor ANTIDEPRESSANTS amitriptyline Elavil bupropion Wellbutrin SR citalopram hydrobromide Celexa escitalopram Lexapro uoxetine Prozac nortriptyline Pamelor glipizide Glucotrol XLsulfonylurea glyburide Diabeta Micronasesulfonylurea metformin Glucophagebiguanide pioglitazone Actosthiazolidinedione repaglinide Prandinmeglitinide rosiglitazone Avandiathiazolidinedione paroxetine Paxil sertraline Zoloft trazodone Desyrel Note Brand names are in parentheses.Causes There are many possible causes of fatigue including Anemia including iron deficiency anemia Depression or grief Iron deficiency without anemia Medications such as sedatives or antidepressants Persistent pain Sleep disorders such as insomnia obstructive sleep apnea or narcolepsy Thyroid gland that is underactive or overactive Use of alcohol or drugs such as cocaine or 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outbreaks of infection and link cause and effect for epidemiologists see pp.Increased deep tendon reflexes hyperreflexia Babinskis reflex plantar response extensortoes upward abnormal Decreased deep tendon reflexes No Babinskis reflex plantar response flexortoe downward normal No atrophy Muscle atrophy No fasciculations Fasciculations present Appendix l STEPUP TO MEDICINE f i g u r e A Palpation of the lymph nodes in a physical examination.Learn nervous system combining forms and use them with sufxes and prexes.

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