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These compounds are the primary components of 2 types of kidney stones3

Tirzepatide and prevention of chronic kidney disease

Serra C

Well, the honest answer depends heavily on your individual situation, and I want to be specific about that rather than giving you a generic talk to your doctor response

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Patients on selective serotonin reuptake inhibitors (SSRIs) or tricyclic antidepressants need closer monitoring if phentermine is used, as serotonin syndrome, though rare, is a medical emergency