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It is a big step, it is life long treatment. Don't make the decision willy-nilly.
But if you need it, you need it. People can live fine without it - they have for centuries. But it can make a difference.
It's not always permanent (at least not if you're on it for very long), but it's kind of a pain to get off. You'd probably feel worse than ever for a while before you go back to where you were before
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