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What to monitor: Weight, blood pressure, heart rate (especially with phentermine) Compliance and tolerance Mental health status (mood, suicidality screeningeven though GLP-1s dont increase risk, its good practice) Labs periodically (glucose, kidney function if on GLP-1s long-term) PDMP Checks (Controlled Substances) If prescribing phentermine or other controlled substances, most states require checking the Prescription Drug Monitoring Program before each prescription: Mandatory in: Florida (E-FORCSE), Texas, New York (I-STOP), Illinois, California, Pennsylvania, and most others

Most GLP-1s are approved only for adults 18 and older

Effects of Lactobacillus casei CCFM419 on insulin resistance and gut microbiota in type 2 diabetic mice

Interleukin6 enhances insulin secretion by increasing glucagonlike peptide1 secretion from L cells and alpha cells

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