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Adolescents may present with school absenteeism, mood changes, or gastrointestinal symptoms rather than classic pelvic pain
Teach patients to recognize and report warning signs: Serotonin syndrome: agitation, confusion, rapid heart rate, elevated temperature, muscle rigidity Hypertensive crisis: severe headache, chest pain, vision changes, nosebleed Remind patients not to share medications with others, and to store and dispose of them properly (especially phentermine, given its controlled status)
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