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The VNS therapy pulse generator was set to 1 milliampere (mA) output current, 20 Hz signal frequency, and 500 mu;sec pulse width, which was delivered in a cycle of 30 seconds ldquo;onrdquo; and 5 minutes ldquo;off. rdquo; This would be considered a low-to-moderate dose of VNS. Some adverse events were noted, such as voice alterationhoarseness and cough, after increasing the mA to 1. The voice change attenuated, but the cough was felt to be intolerable. As she was deemed stable in a sustained response on viagra usa generic mA, she was returned to the 1 mA setting during her ongoing course of treatment.

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