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Prior to entering the coaching profession, Coach Trivers attended the College of the Holy Cross in Worcester, Massachusetts where he played running back and earned his Bachelor of Arts degree as an English major with a concentration in African American Studies. Coach Trivers furthered his education at the University of Maryland, College Park by earning his Master of Education degree. He has been an assistant coach for a total of 6 seasons with stints at the University of Maryland, Syracuse University, Rutgers University and Thomas S. Coach has been a head coach for a total of 15 seasons for 3 different programs compiling a record of 122 wins and 47 losses. He was the 1 coach in the history of Northwest High School in Germantown, Maryland where he led the team to 5 Division Championships, 3 Region Championships and 1 State championship in 9 seasons. He was the Head Coach at Leesburg High School in Leesburg, Florida for 4 seasons where he led the team to 4 straight winning seasons, 2 state playoff appearances and its 1 home playoff win and District Championship since 1969. Most recently, Coach Trivers has led the Gonzaga College High School Eagles to a 21 and 5 record in 2 seasons including back to back DCSAA State Championship Titles. Coach Trivers has been an English teacher throughout his career and currently teaches Classic Literature and African American Literature at Gonzaga. Citalopram is fifth in effectiveness (after mirtazapine, escitalopram, venlafaxine, and sertraline) and fourth in cost-effectiveness. The ranking results were based on the meta-analysis by Andrea Cipriani. In another analysis by Cipriani, citalopram was found to be more efficacious than paroxetine and reboxetine, and more acceptable than tricyclics, reboxetine, and venlafaxine, but less efficacious than escitalopram. A meta-analysis, including studies with fluoxetine, paroxetine, sertraline, escitalopram, and citalopram versus placebo, showed SSRIs to be effective in reducing symptoms of premenstrual syndrome, whether taken continuously or just in the luteal phase. A 2009 multisite randomized controlled study found no benefit and some adverse effects in autistic children from citalopram, raising doubts whether SSRIs are effective for treating repetitive behavior in children with autism. This side effect, if present, should subside as the body adjusts to the medication. Citalopram is considered safe and well tolerated in the therapeutic dose range. Distinct from some other agents in its class, it exhibits linear pharmacokinetics and minimal drug interaction potential, making it a better choice for the elderly or comorbid patients.

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