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Contraindications include personal or family history of medullary thyroid carcinoma or MEN 2 syndrome, pancreatitis history, severe GI or kidney disease, pregnancy, and breastfeeding

At Perfect B in Doral, FL, we dispense the protocol, the manual, and the follow-up

The closest is Qsymia, which combines phentermine with topiramate, but not with a GLP-1

These hormonal shifts change how your body functions, directly impacting your weight in the following ways

Insulin and insulin-like growth factor-1 (IGF-1) play important roles in cognitive performance, neurological function, and the control of neurogenesis and synaptogenesis (Choi et al., 2025)