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The primary concern involves cardiovascular effects, as phentermine can increase heart rate and blood pressure while semaglutide may affect heart rate variability through vagal mechanisms
Handling precautions include: Remove the auto-injector from refrigeration approximately 30 minutes before injection to allow warming to room temperature Do not shake the auto-injector
Surgical options provide structured reduction of stomach volume or absorption change, but still require strong lifestyle support
First, try to stick to a diet that is lower in fats
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