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The solution is dose reduction by 2550 mcg and slower titration over 23 weeks rather than weekly increases

Acknowledgements We acknowledge Ms Janadaree Bandara, Universirty of Peradeniya, for providing the insecticide-impregnated papers for the bioassay tests, Dr Thilini Weeraratne and Ms Sumudu Samarasinghe for assistance with molecular analysis, Mr M

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