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)
Here's what evidence-based medical weight loss actually looks like
If youve been diagnosed with type 2 diabetes, most South African medical aids will consider covering Ozempic under their chronic medication benefits, but only if your doctor submits the right motivation and your pathology results support the diagnosis
Methotrexate and Immunosuppressants Methotrexate, often prescribed for autoimmune conditions, can also lead to increased liver enzymes