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Although several studies have reported on valve abnormalities among users of fenfluramine or dexfenfluramine, detailed infor- mation on these subjects has not been provided, limiting the ability to understand who may be at risk for valve abnormalities and to generate hypotheses about the etiology and pathogenesis of these .

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The body has two ways of removing serotonin: by absorption into blood platelets that use it for clotting and through the serotonin-destroying enzyme monoamine oxidase, or MAO.

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It is probably effective in the least number of patients, and this is doubly true in patients who have already taken phen/fen or any of the CNS stimulants mentioned above.

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