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Herbal supplements such as ginkgo biloba, high-dose fish oil, and vitamin E may also affect clotting

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Switching is standard: Many patients need to change from compounded to an FDA-approved product as availability changes and as payers require labeled products

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The manufacturer also offers Qsymia Engage, a cash-pay program that fixes pricing at $98 per month, or $70 per month with a 90-day supply