An individual's self-esteem can be affected by genetics as well as environmental factors, and poor self-esteem often begins in childhood. A person who experiences an abusive childhood or who didn't get enough approval from authority figures, feels his or her self-worth was based on achievements or feels excluded will often have poor self-esteem.
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<u>The best strategy is to start the inhaled coticosteroids, during the tapering of the oral corticosteroids</u>.
Tapering of drug is the reduction of drug dosage gradually so as to manage the withdrawal syndrome and therefore the plasma levels of the drug.<u> The medication is reduced at fixed intervals by the subject.</u>
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This is necessary in this scenario to prevent deficiency in blood cortisol levels as a result of adrenal suppression from long oral corticosteroids treatment. Therefore the inhaled medication should commence when the dosage of oral has reduced,/temperd
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