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See How to Read a Janoshik COA for context

Well, for most people in reasonably good health (no history of heart disease, uncontrolled high blood pressure, etc.) it is reasonable to start with phentermine

However, this mechanism of action can significantly affect digestive function, making dietary fibre an important consideration for patients on these therapies

Surgery Type: Minor procedures may allow quicker recovery compared with major abdominal or gastrointestinal surgery which can affect digestion bowel function and food tolerance for longer periods after the operation

Thats a clinical decision with your provider