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The factors that contribute to this behavior include poor or no health insurance coverage, limited access to newer medication, financial distress, poor health education and communication, and physician bias

Over the 20th century, additional treatments were developed and FDA approved for treatment of overweight and obesity, including phentermine, phentermine/topiramate, orlistat, and naltrexone/bupropion

Those with access to regular medical monitoring, including frequent bloodwork and body composition assessment

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Its alarming that these medications which have not been tested on patients are being mass-produced and mass-marketed for profit