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Lachesis,
Is this a psychiatrist or a physician. If it is a physician I would ask to see a psychiatrist. They should have been doing blood levels every six months.
If she took her medication before going in that day then the levels won't be acurate. I think the blood test needs to be 11 or 12 hours after the last dose. We have to time it just right in the facilities we work in.
Just keep nagging until they get it right.
Hugs,
MG
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