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Common side effects of Contrave include nausea, constipation, diarrhea, headache, vomiting, dizziness, trouble sleeping, and dry mouth

Before committing to combination therapy, it is worth stepping back and asking a blunt question: does adding phentermine to tirzepatide actually provide enough additional benefit to justify the added risk, monitoring burden, and cost

"Some people achieve blood sugar control at just 5 mg and so they remain on that dose," she adds

However, individuals with a history of depression or mental health issues should be closely monitored while using these medications

At 2.5 mg per week (25 units = 0.25 mL per draw), that vial contains 12 doses, enough for 12 weeks

Combined noradrenergic and antimuscarinic medications that target the autonomic nervous system have been shown to improve upper airway dilator tone and muscle responsiveness [10]