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The first (or only) stich in a verse may be divided by dechi, which looks like tifcha but goes under the first letter of the word to the right of the vowel sign.
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It is through this central process that muopioid receptor antagonists, such as the generic drugs naltrexone, nalmefene, and naloxone, are believed to have an effect in treatment-resistant pruritus.
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When it is desired to refer unambiguously to telisha qetannah (the conjunctive), terms such as talsa or tilsa are used, on the analogy with the distinction between the letters shin and sin (the sin has a dot on the left and telisha qetannah appears on the left of the word); another term used for both accents is tirtzah.
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As time passes, these changes take root and alter the structure of the brain itself (see also “Altering Brain Structure” below).
Is the reason for my shortness of breath my COPD - or am I beginning to suffer circulatory issues due to both my long-term abuse of alcohol and medical history of my maternal family?
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Please can I refer you to my notes on the Withdrawal and Depression tab above which gives some advice on cutting down to minimise the risk.
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Metze D, Reimann S, Beissert S, Luger T "Efficacy and safety of naltrexone, an oral opiate receptor antagonist, in the treatment of pruritus in internal and dermatological diseases.
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