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Many steroids available on the black market are even of dubious quality and often only contain small amounts of the drug

Pharmacogenetic considerations and metabolic pathways may also apply to other antidepressants, especially those affected by CYP2D6 and CYP2C19 , including: Escitalopram influenced by CYP2C19 Sertraline affected by both CYP2C19 and CYP2D6 Amitriptyline a tricyclic antidepressant metabolised by both CYP2D6 and CYP2C19 Paroxetine primarily influenced by CYP2D6 1

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The downsides: Unregulated, potential drug interactions, expensive, no evidence