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It involves hormones, appetite signaling, insulin response, inflammation, liver metabolism, sleep, stress, genetics, medications, and environment

As it is a prodrug, lisdexamfetamine is structurally different from dextroamphetamine, and is inactive until it metabolizes into dextroamphetamine

The high price is suspected to be the main reason more individuals arent using the drugs they generally cost more than $1,000 a month, a factor that is driving many employers hesitation to cover them

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