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There is plenty of room to go higher if needed

If the side effects are too intense, the patient may need to continue taking the lower dosage for longer or may need to consider switching to a different medication or other weight loss alternatives

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Community sources consistently flag combinations with MAOIs (serotonin-syndrome risk), SSRIs/SNRIs (serotonergic overlap), stimulants (amphetamines, methylphenidate, modafinil), and other monoamine reuptake inhibitors (sibutramine, bupropion) as combinations to avoid

Discussing Your Medical History Full transparency with your medical team is non-negotiable for your safety