1% of patients
This highlights the potency and risk of misuse of the compound
GI effects are the primary concern, primarily nausea, vomiting, diarrhea, and constipation
Companies entering the peptide market will need to go beyond current compounding requirements by clearly communicating risks, providing prominent safety and side effect warnings, implementing robust patient screening protocols, and steering consumers away from misleading peptide information circulating on social media, online forums, and unverified sellers
Some clinicians overlap the medications briefly during the transition, continuing phentermine while semaglutide titrates up, then discontinuing phentermine once semaglutide reaches therapeutic levels
What was interesting was that the ketamine infusion showed a significant pain reduction during and after, which supports the hypothesis that NMDA receptors are very much part of the pain mechanisms in fibromyalgia