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Piazza, T

Teach patients to recognize and report warning signs: Serotonin syndrome: agitation, confusion, rapid heart rate, elevated temperature, muscle rigidity Hypertensive crisis: severe headache, chest pain, vision changes, nosebleed Remind patients not to share medications with others, and to store and dispose of them properly (especially phentermine, given its controlled status)

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Alternate-Day Fasting Fasting every other day or consuming very few calories on fasting days

Trial dosing typically runs for at least 48 weeks, and many specialists believe meaningful weight loss treatment will be open-ended in the same way as treatments for blood pressure or cholesterol