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Many people eventually find that combining both forms - addressing both systemic and brain-level needs - yields the best results

Gastrointestinal effects also contribute to changing food preferences

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Understanding your genetic predispositions allows your provider to design a dosing strategy tailored specifically to your biology, potentially accelerating your weight loss while minimizing adjustment periods and side effects

When pharmacotherapy is needed, alternatives include phentermine-topiramate (Qsymia), which requires monitoring for psychiatric effects and is contraindicated in pregnancy

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