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Phentermine causes tolerance because the central nervous system adapts to chronic sympathomimetic stimulation

Recognizing these factors is not about predicting outcomes

Month 2-3 (0.5-1.0 mg): An additional 4-8 pounds

doi: 10.1111/apt.70196, 7

It's important to screen for reversible causes of tachycardia , including: Dehydration Infection Anaemia Thyroid dysfunction Use of stimulants, decongestants or other medications affecting heart rate Lifestyle modifications can help optimise cardiovascular health: Adequate hydration, as dehydration can exacerbate tachycardia Gradual increase in physical activity as weight loss progresses Stress management techniques Avoidance of excessive caffeine and stimulants Smoking cessation support where applicable For patients with pre-existing cardiovascular conditions , closer monitoring may be warranted