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Curr Neurol Neurosci Rep 22:657674 Djaldetti R, Yust-Katz S, Kolianov V, Melamed E, Dabby R (2007) The effect of duloxetine on primary pain symptoms in Parkinson disease

You can also see a clinician to rule out sleep apnea

Metabolic Safety: IGF-1 and Glucose Effects One of the most clinically significant safety findings relates to AOD-9604s metabolic profile, particularly its lack of effects on insulin-like growth factor-1 (IGF-1) and glucose metabolism

The FDA explains that compounded drugs are not FDA-approved , meaning the agency does not verify their safety, effectiveness, or quality before marketing (see Compounding and the FDA: Questions and Answers )