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Phentermine is contraindicated in patients with cardiovascular disease, uncontrolled hypertension, hyperthyroidism, glaucoma, agitated states, history of drug abuse, and during or within 14 days of taking monoamine oxidase inhibitors (MAOIs)

This persistence of symptoms after stopping the medication particularly strengthens causation arguments in litigation, as it demonstrates lasting injury rather than temporary side effects

Realistic timeline from assessment to first dose: 5-10 business days