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Tetracycline compounds of the invention wherein R 1 and R 2 are linked to form a ring can be synthesized by reacting the alkene to form a heterocycle such as a lactone or lactam (COT, does paxil cause weight gain or loss 1876-1904), as shown in Scheme 8. Whether any of the symptoms described above represent such a conversion is unknown!
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Certain medical problems also seem to cause SVT, especially lung disease and hyperthyroidism?


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