At The Shot Spot, we prioritize safer, more sustainable alternatives for long-term health, which is why we do not offer Phentermine
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The label encourages these patients to switch to a different anticoagulant in order to minimize their risk of stroke
While weight loss patches may seem like a clever alternative, they are not regulated in the same way as approved medical products so have not undergone the same testing

Important considerations before combining these medications include: Absolute contraindications : The combination should be avoided in patients with cardiovascular disease, uncontrolled hypertension, hyperthyroidism, glaucoma, during or within 14 days of MAOI use, personal/family history of MTC or MEN2, pregnancy, breastfeeding, or severe gastrointestinal disease Cardiovascular risk assessment : Phentermine increases heart rate and blood pressure, which requires careful monitoring with baseline and follow-up measurements of vital signs and possibly EKG if cardiac history exists Gastrointestinal tolerability : Tirzepatide commonly causes nausea, vomiting, and diarrhea, which may be compounded by phentermine's effects Medication interactions : Tirzepatide may reduce the effectiveness of oral contraceptives during initiation and dose escalation