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Sharp, radiating abdominal pain could indicate pancreatitis

Dosing is typically 0.5 to 1.0 mg/day, and the total amount needed for good effect is typically 30-40 mg, though for individuals of medium darkness already, it may be as low as 10 mg for significant effect

While this medication can be taken without regard to meals, it is recommended that it be taken at the same time each day to improve compliance and reduce the potential for side effects

Qsymia tends to be the better fit over GLP-1s when a patient needs to avoid injections, cannot tolerate nausea and vomiting, has a personal or family history of medullary thyroid cancer or MEN 2 syndrome (which rules out GLP-1 use entirely), or needs a more affordable long-term option

Once mixed with bacteriostatic water, the peptide should continue to be stored under refrigerated conditions for stability

If you have cirrhosis or creatinine clearance below 15 mL/min, alternative weight loss approaches may be safer pending more robust safety data in these populations