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Phentermine might serve as a short-term bridge

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12 to 48 Hours: The Onset Window Most patients report that nausea begins between 12 and 24 hours after their injection

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10.1038/s41598-019-48246-6 31

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Weight loss itself generally lowers long-term clot risk, because obesity is a strong VTE driver

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That said, the evidence is still early and mostly anecdotal

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