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SAN DIEGO — A federal judge ruled Friday that prison doctors may continue to forcibly medicate the man accused in the deadly Arizona shooting rampage that injured U.S. Rep. Gabrielle Giffords, saying he refused to second-guess medical experts who concluded that the suspect’s condition deteriorated.

U.S. District Judge Larry Burns said Jared Lee Loughner kept himself awake for 50 hours straight after an appeals court stopped the forced medication July 1. Loughner walked in circles until he developed sores and then declined antibiotics to treat an infected foot. Already thin, he stopped eating and shed 9 pounds.

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