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Indian guidelines define overweight as BMI 23 (compared to 25 internationally)

However, combining multiple growth hormone secretagogues requires careful monitoring of IGF-1 levels to avoid excessive elevation

Options such as phentermine/topiramate or bupropion/naltrexone may present more affordable solutions while still proving effective

The most common complaints are gastrointestinal: Nausea and occasional vomiting Indigestion or heartburn Constipation or diarrhoea These symptoms are usually mild to moderate and typically improve as your body gets used to the medication

Can combining semaglutide and citalopram cause serotonin syndrome