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Potential Risks and Side Effects During the Switch Switching medications carries the risk of increased nausea, vomiting, or GI upset during the initial days as your body encounters a new chemical structure and receptor activation pattern

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[279] [280] A third route starts with ethyl 3-oxobutanoate which through a double alkylation with methyl iodide followed by benzyl chloride can be converted into 2-methyl-3-phenyl-propanoic acid