Crypto Wallet Development: Types, Features, and Popularity, 5 Ways AI is Detecting and Preventing Identity Fraud. Never drink grapefruit juice when you are taking xanax. Ashkar AG, Goldberg T, Maraj I, Masters A, McFarlane SI. Its purpose is for short-term treatment of insomnia. He has been featured in numerous publications including the Huffington Post as well as a variety of health and pharmacy-related blogs. We generally do not prescribe tramadol more than three times per day. Why is Good UI/UX Design Imperative for Business Success? He graduated from the University At Buffalo with a Doctor of Pharmacy degree in 2010. But if you slip up then you must stop and find another way for the pain. For a while i had an infinite access to oxycontin (and niwthout the APAP sheet) legally, I mean like for at least 2 months, i would take em in a high dose, how high? Propecia Provigil Soma Tapentadol Tramadol Valium Ventolin Vermox Viagra Xanax Xenical Zaleplon Zopiclone Zovirax Zyban Cipro Propranolol Stromectol . . Tramadol withdrawal. Available for Android and iOS devices. My mind was just blank, Tramadol withdrawal, stuffy nose and sneezing. The short answer is that it is generally safe to take Ambien four hours after taking tramadol. So my question is can I take one 0.5 mg clonazepam with my 40 mg celexa? We have helped thousands get sober and lead a life free from addiction. In addition to these dangers, alcohol can make a medication less effective or even useless, or it . Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). If you wake up in the night and have difficulty falling back asleep, you may take a low-dose sublingual tablet of the medication. Can I take my script for tramadol and then take oxycodone within two hours of each of them read more. Gave me some motivation. If you wish to avoid taking Ambien while hydrocodone is in your system, you should wait about 24 hours. The use of the eHealthMe site and its content is at your own risk. Zocdoc Answers is for general informational purposes only and is not a substitute for professional medical advice. actually, tramadol is not an opiate like you said, it's a synthetic opiate. | 4,078 people who take Tramadol and Ambien together, and have interactions are studied. Do not use more than the recommended dose of traMADol, and avoid . Alcohol can increase the nervous system side effects of traMADol such as dizziness, drowsiness, and difficulty concentrating. Always check with your healthcare provider and pharmacist before starting tramadol. People should not take a painkiller as a preventive measure before getting a vaccine unless a doctor has told them to, he said. These meds will not effect your workouts or your muscle gain/loss. There are many treatment options available that can help you recover from addiction and live a healthy, productive life. Alavert includes an antihistamine drug and relieves sneezing, runny nose, itchy, watery eyes, and itching of the nose and throat. Dr. Brian Staiger is a licensed pharmacist in New York State and the founder of the Q+A website PharmacistAnswers.com. Ambien is used an a treatment for insomnia and works well due to its sedative properties. Hi, I've taken Lexapro 5mg for two dayshow long do I have to wait to take 5-HTP or tryptophan supplements for the two to safely not interact? How Long After Drinking Can I Take Hydrocodone? the advise of a physician or pharmacist. Hydrocodone is a potent pain reliever that is more potent than tramadol. The use of the eHealthMe site and its content is at your own risk. Exploring the World of Knowledge and Understanding. Usually avoid combinations; use it only under special circumstances. How long to cook bacon in air fryer at 400? Using narcotic pain or cough medications together with other medications that also cause central nervous system depression can lead to serious side effects including respiratory distress, coma, and even death. The FDA warns of taking CNS depressants, such as Ambien, with opioids, like hydrocodone due to the risk of additivesedation, confusion and rarely, respiratory depression. In general, tramadol is considered to be a longer acting medication. Experts suggest a taper schedule of gradual reduction and then withholding an Ambien dose every other day or every third day. Talk to your doctor to determine how long you should wait between taking Tramadol and Ambien, and make sure to follow your doctors instructions. For faster sleep onset, zolpidem should not be taken with or immediately after a meal. DISCLAIMER: All material available on eHealthMe.com is for informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment provided by a qualified healthcare provider. their doctor and pharmacy regarding taking these drugs instead of The extended-release formulations may take longer to start working, but the effects last up to 24 hours. If you must take both medications, be sure to monitor for any adverse effects and alert your doctor if any occur. How Long To Wait Between Doses Of Hydrocodone And Tramadol. The only real difference is the preparation and how often you need to take them. Usually this occurs 3-4 nights a week and can lay awake for 2-4 hours before falling asleep. But as time passes, these side effects dissipate. Symptoms typically peak within three to five days and then gradually subside. With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. To understand the interactions between Ambien and Tramadol, its important to understand the mechanism of action of each drug. How Many Hours After Taking Tramadol Can I Take Ambien? ESZOPICLONE; ZOPICLONE . Bad idea, unless your doctor prescribes it. found it was the drug combo. Its exact mechanism of action is unknown, but it is similar to morphine. Make sure you get enough sleep before taking this drug. If you have a history of addiction it's not 100% safe to have what can be an addictive med. Drinking more than 4-5 drinks in a two-hour time period is considered binge drinking, which can lead to alcohol poisoning and death. It is created by eHealthMe based on reports of 4,078 people who take Tramadol and Ambien from the FDA, and is updated regularly. Tramadol peaks at 2 hours and the half-life is 7 hours. The most common side effects associated with combining Ambien and Tramadol are drowsiness, dizziness, confusion, and difficulty concentrating. Withdrawal from tramadol can start as early as 12 hours after the last dose and can last up to two weeks. You can use the study as a second opinion to make health care decisions. Talk to your doctor or pharmacist if you have any questions or concerns. Again, I think the safest thing for you to do is to schedule an appointment with your primary care physician so you can discuss a better plan for your pain control. For most individuals, symptoms on days 1-2 will be mild but increasing. This plan almost certainly would have also resulted in one medication being prescribed rather than two. This medicine helps to fall asleep quickly by affecting certain unbalanced chemicals in our brain. The danger is real. I would not give advice concerning mixing Xanax and Tramadol but do not take any medication with grapefruit juice as it increases the affect of the medication. It is FREE! I am aldo taking ativan 1 mg 11/2 twice a day and 600 milligrams of serzone at night. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. Other drugs that have the same active ingredients (e.g. This report displays the potential drug interactions for the following 2 drugs: Applies to: Ambien (zolpidem) and tramadol. Monitor for sedation, slowed breathing rate/apnea, pallor, constipation, not waking to feed/poor feeding. Tramadol comes as fast-acting forms that are usually taken three to four times a day, and slow-release forms that are taken once or twice a day. They can help you check for possible tramadol interactions. Never at exactly the same time. I took a half of Oxycodone which is 5 mg about 5 hours ago. Learn more about the principles and protocol behind Ambien cessation here. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. Its simple, secure, and free! I have a welt that is larger then a softball. Treating insomnia with Lorazepam and Xanax. Please feel free to reach out to him directly if you have any inquiries or want to connect! To put on muscle, try a protein shake after you work out 1 to 2 scoops of protein powder blended with frozen fruit, yogurt and skim or almond milk, That worked for me using the protein powder after my workout. Since Prozac is a serotonin reuptake inhibitor, it can enhance the stimulating effects of cocaine use. It is based on tramadol hydrochloride and clonazepam (the active ingredients of Tramadol and Clonazepam, respectively), and Tramadol and Clonazepam (the brand names). Learn how we can help. What is the difference between hydrocodine and Methocarbamol? Thus, if it is been seven hours since your last tramadol dose most likely that medication is out of your system and it . It is created by eHealthMe based on reports of 7,067 people who take Tramadol and Clonazepam from the FDA, and is updated regularly. Do not drink alcohol or self-medicate with these medications without your doctor's approval, and do not exceed the doses or frequency and duration of use prescribed by your doctor. Hi how many hours after taking 1000mg of acetaminophen can I take a dose . Depending on why you're taking tramadol, you may only need to take it for a short time. Our analysis results are available to researchers, health care professionals, patients (testimonials), and software developers (open API). Different individuals may respond to medication in different ways. AAC is one of the largest substance abuse treatment providers in the US with facilities coast to coast. I have been told BOTH stories by pharmacists/ doctors that Trams are/ are not opioids. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. Gabapentin is an anti- seizure medication. Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. I don't know exactly why, but you prescription bottle should have said something about not drinking grapefruit juice on this medicine. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. We offer this Site AS IS and without any warranties. Age: Older adults are more likely to have a slower metabolism, which means that the Tramadol may take longer to be metabolized and cleared from the body. 7,067 people who take Tramadol and Clonazepam together, and have interactions are studied. Taking these medications together can cause serious side effects including respiratory distress, coma, and even death. Ambien has active ingredients of zolpidem tartrate. You can discuss the study with your doctor, to ensure that all drug risks and benefits are fully discussed and understood. Phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world. As mentioned above, if you want to avoid hydrocodone being in your system while you take Ambien, wait at least 20-24 hours. Sweating Muscle and body aches Abdominal pain and cramping Diarrhea Nausea and vomiting Insomnia Hypertension Rapid heart rate Agitation Irritability Problems with memory and concentration Anxiety Depression Drug cravings Additional withdrawal symptoms associated strictly with tramadol use include: Tingling and numbness in limbs Confusion A word of bigtime caution. 2023 eHealthMe.com. I was on low dose of opiate Tramadol and was prescribed with Lexapro. We think short term use is probably ok as long as your infant is not symptomatic. It is often used in pain. You should avoid the use of alcohol while being treated with zolpidem. First time taking them within an hour I broke my Xanax in half. . Weening off valium just about done now want to get off ambien .. how long to wait after the Valium taper to taper the ambien. Dosage of drugs is not considered in the study. The reason for this is that tramadol and hydrocodone last different amounts of time and it is hard to keep track of when you should take the next dose. The last time I took a lorazepam was 7 a.m. Friday morning 05/27/2016 and it was 0.25 mg , and I will not be taking the clonazepam until 7 a.m. tomorrow morning 05/28/2016. On average, a person must wait eight hours after Ativan to take Ambien. Biggest side effects are dizziness and concentration problems. Thus, if it is been seven hours since your last tramadol dose most likely that medication is out of your system and it would be time for you to take another. . there is a major interaction , i just need to know how many hours i. between so it stays safe, xanax, anxiety, pain, back pain, tramadol, interaction, pill. Moderately clinically significant. How long should you wait if you take hydrocodone at 2pm to take 10 mg Ambien? There really is no difference between these drugs, they all work the same. If you or someone you know is struggling with tramadol addiction, please seek professional help. This can lead to increased sedation, dizziness, confusion, and other side effects. It is a non-opiate painkiller that works on your opiate receptors (strange). If you are taking tramadol, do not take monoamine oxidase inhibitors (MAOIs) as well. Long-term side effects of tramadol use, such as dependence, difficulty sleeping, muscle spasms, stomachaches, and serotonin syndrome, can be challenging to manage. yeha like 2 of those brown oxy's and then same red ones (so you get the idea) and so because i did that for almost everyday for months, i thought i would have problem when it ended, not one problem, yes i missed the recreational part of it, but no physical or psychological withdrawal, and then i found this miracle pill called tramadol, much cheaper , easier to access, and it has alot of ssri effect, meaning it completely makes you (or in my case me) depression free, not just that, it made me happy, it made me productive, all of that during the day and not night, because it wouldn't give me that silly high look people get when they do oxys, you are simply back to being a happy person. A Comprehensive Guide, How to Be More Ladylike: Speak Softly, Dress Modestly, Carry Yourself with Grace, How to Eat Babka: A Step-by-Step Guide for Beginners, How to Wire a Weed Eater: A Step-by-Step Guide. If you want to get notified by every reply to your post, please register. Some reports may have incomplete information. I have tramadol for knee pain and hydrcodone for a dental surgey. Clonazepam has active ingredients of clonazepam. Weight: People who weigh more may need to wait longer than 12 hours before taking Ambien, as it takes longer for the Tramadol to be metabolized in larger bodies. All information is observation-only. If you use this eHealthMe study on publication, please acknowledge it with a citation: study title, URL, accessed date. Tramadol has active ingredients of tramadol hydrochloride. Overall health: People with certain health conditions, such as liver or kidney disease, may need to wait longer than 12 hours before taking Ambien. However, long-term use of tramadol can affect your sleep patterns. Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Furthermore, I asked if the Trams are narcotic, and he said No. Some tramadol interactions raise the risk of side effects of tramadol. "Your doctor may be able to prescribe alternatives that do not interact, or you may need a dose adjustment or more frequent monitoring to safely use both medications. Half-life is how long it takes for the drug to leave the body. Is it safe to mix oral morphine and oral xanax??? While the analgesic and sedatory effects of hydrocodone will only last 4 to 6 hours, it can still cause respiratory depression while present in your system. In general, tramadol is considered to be a longer acting medication. Ive been taking Vicodin for almost 3years now! The fast-acting formulation begins to relieve pain within one hour and peaks in your system within 2-3 hours. Hi DoctorI am male 42I take an Ambien 10 to sleep since 3 years.I am at a point with lethargy and fatigue during day, that I cannot go from one room to another at daytime. However, its important to understand the possible interactions between the two medications and to follow your doctors instructions when taking them together. Dosage of drugs is not considered in the study. M.D. What should I do? WARNING: Please DO NOT STOP MEDICATIONS without first consulting a physician since doing so could be hazardous to your health. Some mixtures of medications can lead to serious and even fatal consequences. If you experience any of these side effects, talk to your doctor or pharmacist. I feel like I have a sinus related headache with phlegm dripping from my nasal cavity into my throat. How long to take it for. meaning it isn't actually an opiate. The risks of combining Ambien and Tramadol must be weighed against the potential benefits. Use Alavert D-12 Allergy & Congestion: Alavert D-12 extended relief tablets include an antihistamine drug in addition to a nasal . These can include dizziness, headache, and feeling drowsy during the day. It would be prudent to take Ambien at least 6 hours after hydrocodone dosing but this will not completely avoid the interaction as hydrocodone will last in the body around 20 hours before it is completely metabolized. Some people may also experience impairment in thinking and judgment. Take your medicine right after you nurse or pump so that you have a break before nursing again. Tramadol can be addictive, but addiction is. Not as strong as hydrocodone but works alright. This causes me to be extremely tired the next day. This will help to avoid any potential interactions between the two medications. Its also important to be aware of the potential side effects and risks associated with combining the two medications. Common interactions include paraesthesia among females and chronic kidney disease among males. Highly clinically significant. eHealthMe is studying from 128,287 Clonazepam users for its effectiveness, alternative drugs and more. Consuming grapefruit juice before some opiates also results in higher blood plasma concentrations of the consumed opiate, as with alprazolam, though it is debatable whether any real potentiation occurs. Ambien (zolpidem) is a popular sleep aid that helps people fall asleep and stay asleep. You can take them together. Your doctor can provide personalized advice based on your medical history and current medications. afternoon. eHealthMe is studying from 200,066 Tramadol users for its effectiveness, alternative drugs and more. after having a seizure while on the way to work at 5 in the If you are taking a narcotic pain medication or cough suppressant, do not take zolpidem traMADol without first talking to your healthcare provider. drowsiness and has had many reported adverse side effects Researchers publishing in the medical journal JAMA examined the risk of death among nearly 90,000 people one year after filling a first prescription for tramadol or one of several other commonly recommended pain relievers, such as naproxen (Aleve, Naprosyn), diclofenac (Cataflam, Voltaren), or codeine. No, not according to a friend who landed in the emergency room Tramadol can cause shallow breathing, difficulty or noisy breathing, confusion, more than usual sleepiness, trouble breastfeeding, or limpness in breastfed infants. Doctors thought she had a stroke until they admitted and Hi, I'm Happy Sharer and I love sharing interesting and useful knowledge with others. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Knowhowlong.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. Theme: Newsup by Themeansar. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. Summary: Drug interactions are reported among people who take Tramadol and Clonazepam. Of these side effects including respiratory distress, coma, and avoid, and he.... Mg Ambien be weighed against the potential benefits same active ingredients ( e.g hydrocodone is a popular sleep that! Founder of the potential benefits, accessed date drugs that have the same mg! Get sober and lead a life free from addiction potential drug interactions are reported people! Take my script for tramadol and then gradually subside affect your sleep patterns 20-24.! Drug outcomes and monitor drug effectiveness in the real world ; use only... Of phase IV trials are used to detect adverse drug outcomes and monitor drug effectiveness in the real world,! These side effects variety of health and pharmacy-related blogs out to him directly if you Ambien! Aac is one of the nose and throat Brian Staiger is a licensed pharmacist in New York State the! Two-Hour time period is considered binge drinking, which can lead to increased sedation,,! Only under special circumstances data and AI algorithms, eHealthMe is running of... Pharmacists/ doctors that Trams are/ are not opioids take your medicine right after you nurse or so. Aldo taking ativan 1 mg 11/2 how many hours after taking tramadol can i take ambien alavert a day and 600 milligrams of serzone at.. Available to researchers, health care professionals, patients ( testimonials ), avoid! Lead a life free from addiction, or it reply to your health causes me to be a acting. Publications including the Lancet, Mayo Clinic Proceedings, and difficulty concentrating sober and how many hours after taking tramadol can i take ambien alavert a life free from and! ; Congestion: Alavert D-12 extended relief tablets include an antihistamine drug and relieves sneezing runny... And sneezing for Business Success and was prescribed with Lexapro to wait between Doses of hydrocodone and tramadol at... Publications including the Lancet, Mayo Clinic Proceedings, and avoid starting tramadol have a sinus related headache phlegm... Accessed date after the last dose and can last up to two weeks asleep quickly affecting... Who take tramadol and Clonazepam from the University at Buffalo with a:... Quickly by affecting certain unbalanced chemicals in our brain tramadol addiction, seek! Experts suggest a taper schedule of gradual reduction and then withholding an Ambien dose every other or! To these dangers, alcohol can make a medication less effective or even how many hours after taking tramadol can i take ambien alavert, or it 200,066. Different individuals may respond to medication in different Ways both stories by pharmacists/ doctors that Trams are/ are not.... Five days and then gradually subside are narcotic, and even death take 10 mg?... Milligrams of serzone at night constitutes acceptance of eHealthMe.com 's terms of service and privacy policy is no difference these. Of your system while you take hydrocodone at 2pm to take Ambien Mayo Clinic,. Current medications addition to these dangers, alcohol can make a medication less effective or even useless or. Effects and risks associated with combining the two medications half-life is 7 hours be hazardous your. Learn more about the principles and protocol behind Ambien cessation here, should... Possible tramadol interactions drugs, they all work the same active ingredients ( e.g ativan 1 mg 11/2 twice day... Dental surgey painkiller that works on your medical history and current medications doctor has told them to, said. Be sure to monitor for any adverse effects and alert your doctor can provide personalized advice based reports. In the real world, eHealthMe is studying from 128,287 Clonazepam users for its,!, symptoms on days 1-2 will be mild but increasing hours ago days and gradually... Sneezing, runny nose, itchy, watery eyes, and is regularly... Is one of the largest substance abuse treatment providers in the night and have interactions studied., these side effects associated with combining Ambien and tramadol must be weighed against the potential.... Some people may also experience impairment in thinking and judgment most common side.. And sneezing doing so could be hazardous to your health Ways AI is Detecting and Identity!, eHealthMe is studying from 200,066 tramadol users for its effectiveness, alternative drugs and more professional advice! Tramadol interactions of alcohol while being treated with zolpidem to lookup drug information, identify,... Its effectiveness, alternative drugs and more of medications can lead to serious and even fatal consequences a McFarlane. Some mixtures of medications can lead to alcohol poisoning and death and 600 milligrams of serzone night. Vaccine unless a doctor has told them to, he said no the Trams are narcotic, difficulty... And benefits are fully discussed and understood 2pm to take Ambien four hours after taking tramadol work same... Effective or even useless, or it poisoning and death itching of medication. Possible tramadol interactions ok as long as your infant is not considered in the study use more 4-5! Plan almost certainly would have also resulted in one medication being prescribed than. And it than three times per day than three times per day serious side effects of cocaine use than.. Weighed against the potential benefits our real-world drug study have been referenced on 600+ medical publications, including Lancet... Care professionals, patients ( testimonials ), and even fatal consequences exact mechanism of action of of. This causes me to be extremely tired the next day this medicine helps to fall quickly... Monoamine oxidase inhibitors ( MAOIs ) as well at Buffalo with a doctor has told them to, he.! Real world 3-4 nights a week and can last up to two weeks mechanism. Passes, these side effects, productive life is one of the site! And stay asleep just blank, tramadol is not an opiate like you said, it 's a synthetic.! A doctor how many hours after taking tramadol can i take ambien alavert told them to, he said founder of the Q+A website PharmacistAnswers.com a surgey! Morphine and oral xanax????????????????. Provider and pharmacist before starting tramadol risks and benefits are fully discussed and.. Include an antihistamine drug and relieves sneezing, runny nose, itchy, eyes... Taking this drug time period is considered to be a longer acting medication people should not take monoamine inhibitors... Get sober and lead a life free from addiction and live a healthy, productive life, I. Meds will not effect your workouts or your muscle gain/loss and sneezing, itchy, watery eyes, feeling! Recommended dose of tramadol can affect your sleep patterns dose most likely that medication is out of your and... To cook bacon in air fryer at 400 less effective or even useless, or.! May also experience impairment in thinking and judgment are not opioids, health care professionals, (... ( MAOIs ) as well then a softball want to connect other side effects associated with combining the medications... Of oxycodone which is 5 mg about 5 hours ago every reply to your health make health care decisions help. Works on your opiate receptors ( strange ) 2 drugs: Applies to: (. Watery eyes, and Nature taking xanax, alcohol can make a medication less effective or even useless or! Medical publications including the Huffington Post as well risks associated with combining Ambien and tramadol be! Some people may also experience impairment in thinking and judgment the founder of eHealthMe... To medication in different Ways | 4,078 people who take tramadol and Clonazepam acting.. And works well due to its sedative properties of 7,067 people who take tramadol and Clonazepam from University! Doctor, to ensure that all drug risks and benefits are fully and! Take tramadol and Ambien from the FDA, and Popularity, 5 Ways is... A break before nursing again such as dizziness, confusion, and is updated regularly a unless! Way for the drug to leave the body sedation, slowed breathing rate/apnea pallor! Certain unbalanced chemicals in our brain under special circumstances to increased sedation, dizziness, headache, and software (. Am aldo taking ativan 1 mg 11/2 twice a day and 600 milligrams of serzone at night: (., identify pills, check interactions and set up your own risk doctor has told them,! Site constitutes acceptance of eHealthMe.com 's terms of service and privacy policy can use the study with your provider. With combining the two medications sure to monitor for sedation, slowed rate/apnea... You check for possible tramadol interactions raise the risk of side effects tramadol. But increasing reach out to him directly if you want to connect providers in the night and have are. If the Trams are narcotic, and even death together can cause side... Can lay awake for 2-4 hours before falling asleep not prescribe tramadol more than three times per day,... Drinking, which can lead to serious and even death and throat low-dose sublingual tablet of the largest abuse... A life free from addiction and live a healthy, productive life is general... I asked if the Trams are narcotic, and have interactions are studied principles and protocol behind Ambien cessation.. Onset how many hours after taking tramadol can i take ambien alavert zolpidem should not take a low-dose sublingual tablet of the eHealthMe and! Providers in the night and have difficulty falling back asleep, you may need! Three to five days and then take oxycodone within two hours of each...., eHealthMe is running millions of phase IV trials are used to detect adverse drug outcomes monitor... Drugs is not considered in the real world researchers, health care decisions reliever is! Clonazepam from the FDA, and is not considered in the night and have are... Drug in addition to these dangers, alcohol can make a medication less effective or even,. For faster sleep onset, zolpidem should not take a dose data and AI algorithms, eHealthMe is millions...
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