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Theoretical or documented interactions include: Immunosuppressants (particularly ciclosporin, where clinical interaction has been documented) Medications metabolised by CYP3A4 or CYP2D6 enzymes Medications that are P-glycoprotein substrates Consult your pharmacist or GP before taking berberine alongside any regular medications, particularly those with a narrow therapeutic window

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Like Ozempic, to qualify for phentermine you need to have a BMI over 30 or have a BMI of over 27 with a weight-related condition (13)

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