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Absolute contraindications to phentermine, regardless of GLP-1 status: Uncontrolled hypertension History of coronary artery disease or heart failure Uncontrolled hyperthyroidism Glaucoma History of substance use disorder (phentermine is Schedule IV) Use within 14 days of MAO inhibitors Pregnancy or planning pregnancy Age over 65 (relative contraindication) The GLP-1 alone may still be appropriate in many of these scenarios

For most new practices, a medical-grade bioimpedance analyzer such as the InBody 770 or InBody 570 offers the best combination of clinical accuracy, patient engagement, and return on investment

Wait for about 24 hours after the first dose before using another

Citrulline is an amino acid that was first isolated from watermelon, Citrullus vulgaris