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21 that utilized a similar crossover design and demonstrated a significantly smaller reduction of mean 17-item Hamilton Depression Rating Scale (HAM-D) scores for a naltrexone-plus-ketamine compared to a placebo-plus-ketamine condition at day 1 postinfusion in individuals with treatment-resistant depression ( n = 12) with a similar effect size ( d = 0.7) to that found in this study ( d = 0.6)

As always, speak with your doctor before adding any new supplements to your regimen

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As such, any clinical use should be framed as exploratory and hypothesis generating rather than standard of care