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consider slower titration if gastrointestinal symptoms are problematic Monitoring frequency: More frequent follow-up than in bariatric-naive patients, particularly during dose escalation (every 4-6 weeks initially) Nutritional support: Continued emphasis on protein intake (60-80 grams daily), vitamin/mineral supplementation, and adequate hydration Multidisciplinary coordination: Collaboration between bariatric surgery, endocrinology/obesity medicine, nutrition, and behavioral health providers Contraindications to semaglutide use include personal or family history of medullary thyroid carcinoma, multiple endocrine neoplasia syndrome type 2, prior serious hypersensitivity to semaglutide or its components, and pregnancy

Off-Label Uses Phentermine For ADHD While phentermine increases dopamine and norepinephrine in the brain, similar to Adderall, there is limited research to support phentermine use for ADHD

In post-hoc analyses and dedicated renal endpoints, GLP-1 drugs slowed the decline of kidney function, reduced new cases of macroalbuminuria (a marker of kidney damage), and hinted at delaying the need for dialysis in diabetic patients

they can actually interfere with your weight loss goals