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high calcium levels) Are pregnant or breastfeeding Are taking specific medications We will always ensure the treatment is appropriate for you

In the other trial, dulaglutide (Trulicity) did not improve smoking outcomes when added to varenicline (Lengsfeld S et al, EClinicalMedicine 2023;57:101865)

2.5 Post-GLP1 Use Case While no large trials directly study GLP1 tapering with Phentermine/Topiramate, clinical experience supports it because: Drug combination has a strong appetite suppressing profile It supports long-term maintenance (over 1 year) in trials like CONQUER and EQUIP The dual mechanism (appetite + craving reduction) makes it an ideal maintenance therapy 2.6 Common Side Effects from Phentermine/Topiramate (Qsymia ) Phentermine/Topiramate side effects have been well documented and are manageable for most people