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Extra caution may apply if a patient has: Type 1 diabetes History of pancreatitis Severe stomach emptying problems Gallbladder disease Kidney disease Thyroid cancer history Multiple diabetes medications Pregnancy plans Eating disorder history Very low calorie intake Dehydration or frequent vomiting A safe weight loss plan needs more than a prescription

Mild nausea during the first few days, a brief shift in bowel patterns, or slight abdominal discomfort is common

Compounding pharmacies filled prescriptions when regular pharmacies couldn't

Our practice proudly serves patients throughout Chesapeake, VA and Norfolk, VA