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That is a reasonable concern. Alternatives Uncertainty surrounding the source of off-brand obesity medications has led many health care professionals to avoid drugs that are not FDA-approved

Missing data were imputed by carrying forward the last observation while on naltrexone-bupropion

Monitor your blood glucose regularly, keep a symptom diary, and consider oral rehydration solutions if experiencing gastrointestinal side effects such as nausea or diarrhoea

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This includes considerations around insulin dosing and continuous glucose monitor (CGM) adjustments, ketone management, monitoring and mitigating side effects (especially gastrointestinal) and complications like eye disease, and more