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Compounded medications are not FDA-approved and are prepared by state-licensed pharmacies based on a providers clinical judgment

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Individuals with limited life expectancy, active eating disorders, or those unwilling to engage in lifestyle modifications may not derive optimal benefit from this combination

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If 10 mg produces excellent efficacy but borderline intolerable nausea, try 7.5 mg for 6 to 8 weeks to assess whether efficacy remains adequate with improved tolerability