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Phentermine may be sold under the brand names Adipex-P, Lomaira, and Suprenza, or as Qsymia, which combines phentermine and topiramate

-Individualize targets: adjust for age, kidney status, comorbidities, and activity level

Transitioning between semaglutide and tirzepatide should always be done under medical supervision with clear guidelines to ensure safety and maximize benefits

Archive this CoA alongside the semaglutide dosing protocol record and any comparative selection notes drawn from the retatrutide vs semaglutide vs tirzepatide assessment