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Valid references must be provided.55 y.o recently widowed female husband passed away 5 months ago after battling lung CA x 2 years 3 kids 2 in college. pt Dx of new onset HTN, hypothyroidism,hypercholesterolemia. Meications levthyroxine(synthroid), simvistatin (zocor),HCTZ, zesteril (lisinopril), MVI, and aspirin Daughter accompanied mother to MD office concerned mom is sleeping all the time lost 25 lbs in 2 months without dieting, Pt withdrawn from normal hobbies due to increased sadness. New DX major depression

- What are reasonable treatment goals for L.B.?

- What medications and disease states may contribute to L.B.'s depression?

- What would be the first agent you would consider prescribing for L.B.? Why did you make this choice?

- What are some adverse reactions that may occur based on your selection?

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