WEBVTT

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There are several different medications

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that we can start with in those family,

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and they're all very similar, they're kind of,

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I kind of call them cousins of each other

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because they work in a very similar way.

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But one person's body may

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respond differently to a medication than the other.

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And I have no way of knowing that it will work for you

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versus someone else.

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Because I can give one person a medication and they say,

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"This is great. This is the best thing I've ever had."

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I can give another person the medication, and they're like,

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"Ugh, this is gross. My stomach hurts, and I don't feel good."

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And then that just means that we have to change

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until we find the right medication for them.

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So I have a lot of people who say,

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"I feel like a guinea pig,"

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and it's really not that we're experimenting,

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but we're really trying to make

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an educated decision together about what medication

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is gonna work best for you in the long-run.

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So it takes some work to find it.

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The way we choose one to start with is typically

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then based on the side effects of the medicines.

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If one of the medicines is more likely to make you

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a little drowsy and you're having trouble sleeping,

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it might be a good one to start with

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because you can take it at bedtime.

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If you're having trouble staying awake during the day,

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using one of the ones that tends to wake people up a little

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that you take in the morning might be a better option.

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These are the things we talk about and work individually,

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person by person, to figure out what's the best one

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to pair up with them.