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The odds ratio (OR) for clinical response favored TBS (OR = 2.93, 95% CI, 1.326.52) and acceptability of treatments was comparable.[245] A network meta-analysis that compared NIBS treatments for bipolar depression showed that high-frequency deep TMS and bilateral TMS (high-frequency rTMS to left DLPFC plus low-frequency rTMS to right DLPFC) had comparable efficacy.[246] Short-term tolerability is generally good and switch risk appears low when patients are adequately covered with mood-stabilizers, but durability and long-term outcomes remain uncertain

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