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I happen to think Suboxone works better, the higher the COWS. 17 is a reasonable score to start bupe, but I don't know why that exact score was chosen by the powers that be. If a pt was @ a score of 12, it should not take more than a couple of hours or so the score to get to a 17. It seems, in general to be somewhat. arbitrary and capricious to me.
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