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The phentermine component is essentially prescription grade amphetamine derivative

Compared to usual care, participants who used GLP-1RAs had a lower risk of: substance use and psychotic disorders seizures neurocognitive disorders including Alzheimers disease and dementia infectious illnesses several respiratory conditions coagulation and cardiometabolic disorders, including deep vein thrombosis, pulmonary embolism, stroke, cardiac arrest, heart failure and myocardial infarction

Lancet Gastroenterol Hepatol 2023;8(1):2030

Dilute the powder in vial with safe water provided for injections

That oxidise or misfold when exposed to heat, light, or moisture