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Except now his testosterone levels were at 10 ng/dL, so his doctor put him on testosterone replacement therapy (TRT)

The scenario where adding phentermine makes the strongest case is this: a patient on maximum tirzepatide dosing for at least 6 months, with a documented weight loss plateau lasting 8 or more weeks, who has optimized diet, exercise, sleep, and stress management, and whose provider has ruled out medical causes for the plateau (thyroid dysfunction, medication interactions, fluid retention)

Vitamin C: Update on physiology and pharmacology

Measured against each patients final diagnosis, the pre-test diagnosis held up in 75.5% of cases

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