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During that extra 24-hour window, your hunger hormones may begin to rebound slightly as circulating semaglutide levels decline, potentially causing increased appetite, food cravings, or less satisfaction at meals compared to your normal weekly rhythm

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Conditions or therapies that predispose to acidosis (i.e., renal disease, severe respiratory disorders, status epilepticus, diarrhea, surgery, or ketogenic diet) may be additive to the bicarbonate lowering effects of phentermine and topiramate extended-release

Christensen, J

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