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This is because phentermine has some unwanted side effects that can include feeling jittery or having difficulty sleeping and using it may be associated with increased heart rate and blood pressure

Type 2 diabetes mellitus

Educational prompts explain volatility, house edge, and wagering requirements in plain language

Semaglutide mimics a digestive hormone to slow stomach emptying and regulate blood sugar

The ideal medical team includes: Endocrinologist: Manages thyroid function, monitors TSH and antibodies, adjusts levothyroxine, screens for thyroid nodules and cancer risk Obesity medicine specialist or prescribing clinician: Manages GLP-1 dosing, titration, and side effects Registered dietitian: Develops nutrition plans that address both autoimmune support and adequate intake on reduced appetite Communication between these providers is essential

Further studies should explore if prokinetics can be given to patients who are shown to have RGC on ultrasound and then be re-scanned to see if sedation can proceed