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When antidepressants are necessary: Severe depression that significantly impairs functioning Recurrent depression with multiple episodes Depression with suicidal ideation or history Treatment-resistant depression where youve finally found something that works Depression with comorbid conditions that antidepressants help (anxiety, chronic pain, insomnia) If youre on an antidepressant thats helping your depression, particularly if youve tried other options that didnt work, staying on that medication may be the right choice even if it has metabolic effects

Failure to do so was shown in one long term study of surgical results to result in recurrent voice problems in more than 50% of patients who underwent vocal cord nodules surgery.2 This does not necessarily mean that surgery should not be performed for vocal cord nodules

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