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For controlled substances (phentermine), current federal rules (through 2026) allow telehealth prescribing without in-person visits, but some states require in-person exams (New York definitely does

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doi: 10.3390/biom11020217

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If nausea persists beyond the first 46 weeks of semaglutide initiation, your provider may recommend dose adjustment, timing changes, or temporary supportive medications rather than discontinuing either agent

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and Peptostreptococcus ) strongly links to behavioral defects and the rise in pro-inflammatory cytokines in the CNS (Wlodarska et al., 2017

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