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Do not take phentermine with Contrave together or with bupropion (Wellbutrin), as the combination can lead to high levels of serotonin in the blood, damaging the heart valves
Dont push through severe symptoms
Oral forms have no established benefit
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I also see patients unintentionally overcorrect by reaching for aggressive exfoliants or high-strength actives too quickly, which can further disrupt the barrier. Topically, Puza recommends switching to a ceramide-rich moisturizer applied in the morning and at night, not just when the skin feels dry
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