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Phentermine is also a reasonable first-line option for younger patients without cardiovascular risk factors who want to try medication-assisted weight loss without committing to a more intensive and expensive regimen

A thorough evaluation can help determine whether sleep disturbances might be related to the medication or if other factors such as obstructive sleep apnea, stress, caffeine intake, or other medications might be contributing

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Further studies are needed to develop a strategy for overcoming the increased expression of SST, thereby leading to growth promotion

For some patients, we also incorporate Tirzepatide, a dual-acting agonist that targets two different hunger hormones for enhanced metabolic support