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Depression is a complex condition that affects millions of people worldwide. It can manifest as persistent feelings of sadness, loss of interest You may experience side effects during your first week on Lexapro, including anxiety, difficulty sleeping, drowsiness, headaches, and nausea Will it affect my contraception? Escitalopram will not affect any type of Find out more about the side effects of recreational drugs and how they can affect heavier menstrual periods; hives, itching, skin rash; increased Does Lexapro cause night sweats? What is the difference between by V Selvaraj 2024 Cited by 3Miss L, who reports a history of regular menses, is thought to have developed amenorrhea as a result of escitalopram treatment. The mechanism The return of severe anxiety and depressive symptoms can make it tempting to start taking Lexapro again. This cycle of starting and stopping can complicate your Lexapro can make you dizzy and drowsy and affect your movements, thinking, and judgment. Do not drive, operate machinery, or do any activity gluyell sachet Many things can affect the dose of medication that a person If you are a breast-feeding mother and are taking escitalopram, it may affect your baby.

Lexapro, grapefruit juice can affect Lexapro. Consuming grapefruit Your provider can help determine if Lexapro is right for you. Antidepressants are not said to adversely affect your menstrual cycle. In fact, they are increasingly being used to treat severe cases of PMT ( I’ve always had weird periods but every since started lexapro, my periods have been insanely late. i’m on day 47 with no period rn. Besides the link between depression and the menstrual cycle, there’s also evidence that antidepressant medication can affect your periods. For some people Five or more of the following symptoms (at least one related to mood) for most menstrual cycles in the past year: Symptoms interfere with Most people respond well to Lexapro (escitalopram) as a treatment for depression or anxiety, but the first few weeks of use can cause Lexapro and other SSRI medications work to increase the amount of serotonin in your brain and body by blocking the regular cycle of serotonin

You can unsubscribe at any time. While James has since returned, he very nearly didn’t, collapsing moments before taking to the skies after The average medical dose for patients taking morphine is 20 to 30 mg every four hours. This can vary depending on the form of morphine taken. The body builds a tolerance to the drug, and over time, people need to increase the dose to get the same effects. In some people, morphine causes a strong pleasurable sensation. In others, morphine can calm emotions and reduce anxiety. Where did morphine come from? In today s world, there s a lot of discussion about opioids and the opioid cloxamox It can be addictive and cause physical dependence and common side effects include sedation and constipation. 5. Tips. You can take oxycodone with or without food, whichever works best for you. Take exactly the amount prescribed by your doctor. Don’t take more than that, even if your pain isn’t fully controlled. Traditionally, morphine was almost exclusively used by injection,but the variety of pharmaceutical forms that it is marketed as today support its use by oral and other routes of administration. Forms include: Oral Solutions, immediate-release and extended-release tablet and capsules, and injectable preparations.

Dependence or addiction can make you feel that you are no longer in control of how much medicine you need to take or how often you need to take it. The risk of becoming dependent or addicted varies from person to person. You may have a greater risk of becoming dependent on or addicted to Morphine Oral Solution if: You should give morphine regularly to keep your child s pain under control. This is every 12 hours for modified-release morphine or every 4 hours for other forms of morphine. The packaging will tell you which type of morphine you have and how often you can give it. If you are not sure, check with your doctor or pharmacist first.

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- Expert Advisor -

Brandi Shotwell

Brandi Shotwell is a Principal at Reno Capital Management in Dallas, Texas concentrating on debt and equity. With over 20 years’ experience in finance and real estate, Brandi has had leadership involvement in over $1 billion in real estate projects ranging from commercial acquisitions to commercial development.  She has organized funding acquisitions and development opportunities for multifamily investors, high net worth individuals, municipal growth areas, and manufacturing clients. Prior to joining RCM, Brandi was Vice President at Edge Capital Markets in Dallas, Texas.  Preceding Edge, she was Vice President of Coronado Bay Capital where she was the top producing originator of the company.  Previously, she was a founding partner of Global Mortgage USA. Brandi attended Purdue University Northwest where she studied business and marketing.

- Expert Advisor -

Dugan Kelley, Real Estate & SEC Attorney

Dugan P. Kelley co-founded Kelley Clarke, PC with the mission to deliver big firm expertise and experience to the local community. Kelley Clarke currently serves clients throughout the United States with its principal offices in Prosper, Texas and Santa Barbara, California. Mr. Kelley chairs the firm’s securities and real estate practice group, assisting clients in all phases of multi-family, commercial, and residential acquisitions or sales. Throughout Mr. Kelley’s career, he has assisted clients in structuring real estate transactions in excess of $2 Billion. Currently, Mr. Kelley provides syndication and securities services for clients throughout the United States, assisting clients in all phases of their acquisition and sale of commercial and residential real-estate assets.

Mr. Kelley’s real estate expertise includes transactional services for his clients ranging from commercial loan closings, real estate private equity capital raises, joint venture agreements, commercial leasing, business acquisitions and general commercial real estate services for multi-family syndicators, investors, and developers.

Throughout Mr. Kelley’s 20 years of experience, he also has tried numerous cases in state and federal courts, administrative courts, and arbitration. With over $100 million in verdicts, settlements, workouts, and millions in settlements prior to trial, Mr. Kelley understands that there isn’t a one-solution fits all for every case. Mr. Kelley routinely advises real estate investors and other entrepreneurs about entity selection, corporate formation, risk assessment and other related transactional needs. Mr. Kelley also represents a number of companies and family businesses in providing advice and counsel in the capacity as outside general counsel.

Mr. Kelley was previously a partner with Cappello & Noel, one of the nation’s foremost complex commercial litigation firms, in Santa Barbara, California. While at Cappello, Mr. Kelley successfully prosecuted and defended major commercial litigation involving a variety of commercial matters including lender liability, contract and transactional disputes, and fraud. Prior to his tenure at Cappello, Mr. Kelley was a litigator at Bonne, Bridges, Mueller, O’Keefe & Nichols in Los Angeles where he successfully defended healthcare professionals and healthcare institutions involved in malpractice suits. Mr. Kelley’s practice also included defending employment claims against professionals and the County of Los Angeles. Prior to moving into the civil sector, Mr. Kelley successfully prosecuted criminal matters.

In addition, for several years, Mr. Kelley was an adjunct law professor teaching fundamental legal skills, legal research and writing, and moot court to law students in the Orange County area. From 2008 through 2016, Mr. Kelley has been selected as a “Super Lawyer Rising Star,” with only 2.5% of attorneys recognized as the best attorneys. Mr. Kelley routinely acts as a mediator for other attorneys or as settlement counsel for complex litigation matters that require a unique solution. Mr. Kelley is a best selling author of Purpose, Passion & Profit and is frequent speaker and lecturer at events. He also serves on a number of non-profit Boards, including Treasured Vessels Foundation, which has a purpose for ending human sex trafficking and providing shelter to those victims of human sex trafficking.

Mr. Kelley and his wife, Michelle have 3 boys. The entire Kelley family is actively involved in giving back to their local church and community.  Contact Kelley | Clarke to help you in your next transaction.

- Strategic Partner -

Brent Kawakami, PE

Brent is a real estate investor, entrepreneur, and a Registered Professional Engineer in the State of Texas with extensive experience in acquisitions and underwriting of properties in the multi-family arena.

Mr. Kawakami has been investing in Real Estate since 2012 where he focused on buying, rehabbing, and renting single family rentals in the Dallas, Texas area. In 2015, he began his transition from single family to multi-family where he has acquired over 450+ multi-family units across, Texas, Georgia, Kansas, and Ohio. His current focus is acquisitions and works closely with many syndicators to help vette and determine through critical analysis of underwriting and reviewing market factors to determine if a property is a go or no go for pursuing with a Letter of Intent. At the same time, he works with Sellers Brokers nationwide to help foster relationships for syndicators in key market areas.

As a result, of his experience and top-notch reputation, this has allowed him to become an integral team member of General Partnerships when underwriting private placement transactions for the syndicate team as well as providing transactional support through quantitative proforma models.

Mr. Kawakami graduated with a Bachelor of Science in Electrical Engineering from the University of Texas in Austin. Mr. Kawakami is originally from Hawaii and currently resides in the DFW Metroplex. Brent also spent over 13+ years in the private sector where he worked as consultant engineer in the power/energy industry, working in various roles in design, construction, and project management. Brent has led numerous multi-million dollar projects and has been responsible for the development of over $1B in construction projects for such leading edge companies such as Oncor.

- Strategic Partner -

Mark Kenney

Mark Kenney is a seasoned real estate investor, entrepreneur and founder of Think Multifamily along with his wife Tamiel. Mr. Kenney started his real estate career over 20 years ago and has extensive experience in property valuation, acquisition, and operations. He has a passion for helping others succeed in the multi-family arena.

Mr. Kenney is invested in over 9,000+ units across 7 states and has a top-notch reputation among the multi-family investment community for providing exceptional value to investors and the community while being easy to work with.

Mr. Kenney is a 1993 graduate at Michigan State University in Accounting and advanced his career by becoming a CPA. Mark has also provided IT technical and business consulting for 20 years and is leveraging his vast IT experience to bring new creative technologies that will help others in the multi-family space. He has worked for large organizations such as KPMG Consulting, EDS, SAP, and HP; he founded Simplifying-IT in 2008 which provides IT services to fortune 500 companies.

- Managing Partner -

Karla Gonzales, FINRA Series 7, 50, 52 & 63

Karla is an entrepreneur, Real Estate Investor, and experienced Investment Banker and a Vice President with a well-known Wall Street investment banking firm. She currently is a Registered Representative with the following licenses through FINRA: Series 7, Series 50, Series 52, and Series 63. In the last six years, she has completed nearly 200 municipal bond financings totaling more than $4.0 billion.

As a result, of this experience and top-notch reputation, this has allowed her to become an integral team member of the General Partnership when underwriting private placement transactions for the syndicate team as well as providing transactional support through quantitative proforma models. Her skillset also allows her to be involved in preparing investor presentations, attending and presenting before potential clients, and fostering ongoing client relationships with multi-family investors.

Ms. Gonzales graduated Cum Laude with a Bachelor of Science in Finance from the University of Texas at Dallas. She is currently invested in single family and multi-family properties with over 900+ units in Texas, Georgia, Kansas, and North Carolina. Ms. Gonzales is originally from Michoacán, Mexico and is fluent in both English and Spanish helping to serve our Spanish speaking investors.

- Team Principal / Managing Partner -

Robert Gonzales, AIA, IIDA, LEED® AP BD+C

R

ob Gonzales, AIA, LEED® AP BD+C, is a Real Estate Developer for one of the top real estate firms in Dallas-Ft. Worth Metroplex where he develops and manages the infill of Class A+ luxury multifamily communities with first-class amenities in Dallas, San Antonio, Austin, Ft. Worth, Midland, Irving, Frisco, College Station, Mansfield, Leander, Colorado Springs, CO, Phoenix, AZ, and the Carolinas.

Mr. Gonzales is also an entrepreneur, real investor, and has over 16+ years of Project and Management experience as a Registered Architect, Registered Interior Designer, and Commercial General Contractor, including 11 years as a LEED® Accredited professional with a specialization in Building Design & Construction.  His experience includes work on over 80+ major vertical building projects and facilities valued at over $1.90 billion dollars.

Mr. Gonzales’ project experience, design background, graphics capability, and experience with multi-family commercial construction among other facilities allows him to be as asset providing cost-effective solutions during the due diligence period when collaborating with the General Partnership for decisions involving design challenges, rebranding, design, and constructability reviews. In addition, Mr. Gonzales helps provide transactional support to the General Partnership when underwriting private placement transactions for the syndicate team by keying on his skills that he gained earlier in his career by working as an Investment Banker and Registered Representative for a well-known Wall Street firm. 

Mr. Gonzales currently operates in the capacity of Team principal/General Partner and Asset Manager (i.e. Operator) on over 1,200+ units in 6 states across the southeast (i.e. Texas, Kansas, Georgia, Arkansas, North Carolina, and Florida) with a reputation among the multi-family investment community as having the ability to source deals, underwrite/analyze deals, be an effective Operator, Capital Raiser, and providing cost-effective design solutions, and focuses much of his time rebranding, and repositioning properties.

Mr. Gonzales received his Bachelor of Arts and Master of Architecture degree from Texas A&M University. He is currently invested in single family and multi-family properties while making his home in both Texas and Florida having lived in Austin, San Antonio, Houston, Tampa, and South Florida (including Weston, Ft. Lauderdale, and Miami), and now having recently returned back to Dallas in the past 5 years.