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When pharmacotherapy is needed, alternatives include phentermine-topiramate (Qsymia), which requires monitoring for psychiatric effects and is contraindicated in pregnancy
If you have concerning symptoms like a lump in the throat or a family history of rare cancers, this must be rule out professionally
Phentermine raises heart rate and blood pressure through sympathetic nervous system stimulation
A genetic counselor can talk to you about your choices and answer other questions about prenatal testing or testing your baby after birth
28 Treatment with IV fluid supplementation should continue as appropriate based on patient factors until the anion gap closes and acidosis has resolved
& Morano, K
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