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longer durations at room temperature accelerate degradation

Phentermine is not recommended for people with: Heart disease or history of heart problems Uncontrolled high blood pressure Hyperthyroidism Glaucoma History of drug abuse Pregnancy or breastfeeding Taking MAO inhibitors or certain antidepressants The stimulant effects of phentermine can put extra strain on your heart, which is why it's contraindicated in people with cardiovascular issues

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Once Retatrutide is tolerated well at the initial dose, introduce Tesamorelin