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At The Happiness Psychiatrist, GLP-1s are prescribed by Dr
Molecular modification of peptide drug can be performed to improve their stability, extend their in vivo half-life and make them long-acting
The medications are doing their job, but your microbiome might be scrambling to catch up
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The scenario where adding phentermine makes the strongest case is this: a patient on maximum tirzepatide dosing for at least 6 months, with a documented weight loss plateau lasting 8 or more weeks, who has optimized diet, exercise, sleep, and stress management, and whose provider has ruled out medical causes for the plateau (thyroid dysfunction, medication interactions, fluid retention)
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