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Level 3 evidence is assigned to case control studies or systematic reviews of case-control studies

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The American Diabetes Association (ADA) Standards of Care emphasize individualized selection based on patient preference, dosing frequency tolerance, insurance coverage, and clinical goals

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[86] [88] Dextroamphetamine, the more dopaminergic enantiomer of amphetamine, is particularly effective at promoting wakefulness because dopamine release has the greatest influence on cortical activation and cognitive arousal, relative to other monoamines

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