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If you take insulin for diabetes, let your doctor know before you take phentermine, as you may need to adjust your insulin dose

Food and Drug Administration (FDA) has approved Ozempic to reduce the risk of kidney disease worsening, kidney failure (end-stage kidney disease), and death due to cardiovascular disease in adults with type 2 diabetes and chronic kidney disease (CKD)

2014, Yusta et al

Their experience highlights patient safety concerns around compounded GLP-1 drugs: inconsistent quality control, unclear sourcing, potential contamination, dosing errors, and delayed recognition of serious adverse effects
This approach is oftentimes an important complement to surgery for patients experiencing significant midface deflation due to GLP-1 agonists, he said, as it allows for effective mobilization and resuspension of midface volume. Combining fat transfer with lifting techniques is also important for restoring natural contours and avoiding the hollow or skeletonized look that can happen with a lift alone, said Ramesh
