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The scenario where adding phentermine makes the strongest case is this: a patient on maximum tirzepatide dosing for at least 6 months, with a documented weight loss plateau lasting 8 or more weeks, who has optimized diet, exercise, sleep, and stress management, and whose provider has ruled out medical causes for the plateau (thyroid dysfunction, medication interactions, fluid retention)
Many patients begin with a three month program to allow enough time to evaluate results and optimize dosing with physician guidance
Infante JP, Tschanz CL, Shaw N, Michaud AL, Lawrence P, Brenna JT
Good candidates include individuals with dull or uneven skin tone, those experiencing fatigue, people exposed to environmental toxins, and anyone seeking to support their immune function or overall wellness