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Many women notice: Bloating Slower digestion Feeling like food sits differently Appetite dysregulation tied to gut discomfort All of this creates the perfect storm for increased cravings and weight gain, even when nothing about your habits has changed

Phentermine-topiramate (Qsymia) Rather than mimicking hormones to turn off the brains hunger cues as GLP-1s do prescription phentermine-topiramate regulates what we call neurotransmitters, or signals directly in the brain, to alter appetite, says Kushner

Consult a licensed healthcare provider before starting, stopping, or changing any GLP-1 treatment

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Side effects : Studies have shown tirzepatide may have a greater effect on weight loss and A1C levels, but higher doses of tirzepatide are also linked to more severe stomach side effects like nausea, vomiting and diarrhea

Medical weight loss programs at Refine by Tulsi are customized for each patient