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Your hunger hormones (ghrelin, leptin, insulin) play a major role in eating patterns

Tateishi N et al

A 2,700-person study out of Denmark saw an average of 16% body weight loss at 64 weeks for the 20% of the participants who remained at microdose levels for the duration of the study

Because phentermine elevates heart rate and blood pressure while semaglutide can independently affect cardiovascular function, using both simultaneously creates unpredictable and potentially harmful effects