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If symptoms persist beyond 46 weeks, re-evaluation is appropriate

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Combined with lifestyle therapy in adolescents, phentermine led to significantly greater body-weight and BMI reductions than lifestyle therapy alone at 1 month (1.4 kg, 1.6%), 3 months (2.6 kg, 2.9%), and 6 months (3.2 kg, 4.1%) [56]

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Your healthcare provider can assess whether investigation for underlying causes is needed