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The recommendation: take calcium citrate (not calcium carbonate) if you're on a PPI, as citrate doesn't require acid for absorption
Step therapy can be waived with documented intolerance to phentermine, prior failure to lose weight on phentermine, or contraindication (cardiovascular disease, uncontrolled hypertension, seizure history)
Research-grade suppliers, compounding platforms, private clinics, and the eventual commercial market all operate in completely different pricing tiers
& Caldecott, K
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