1​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​st choice – Vivitrol (naltrexone) injection, 380 mg intramuscularly in the gluteal region every 4 weeks. 2nd choice – Refer to a counselor to address gambling issue 3rd choice – Explore ​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​the issue that Mrs. Perez is having with her counselor, and encourage her to continue attending the Gamblers Anonymous meetings See uploaded instruction document for a detailed instruction​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​.

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