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Phentermines contraindications include: A history of heart disease or heart failure Currently taking or have taken a monoamine oxidase inhibitor (MAOI) in the past 14 days Hyperthyroidism Glaucoma Uncontrolled anxiety or agitated state A history of drug abuse A hypersensitivity to the sympathomimetic amines Pregnancy (since weight loss may harm the fetus) Breastfeeding (since its unclear if phentermine is excreted in human milk) And patients should not take metformin if they have: Severe renal impairment Hypersensitivity to metformin Acute or chronic metabolic acidosis Other warnings Phentermine is classified by the Drug Enforcement Administration as a Schedule IV controlled substance because of its similarity to amphetamines and its risk of dependence and misuse

Alternatives to GLP-1 patches If youre trying to lose weight safely and effectively, there are far more effective approaches than using a patch

The nasal spray is the daily needle-free option

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And so the quintessential case, the one that was described by Harvey Cushings Cushing, you know, 70 years ago, when you look at a picture of her, youd say, oh, shes really, you know, really round