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If you think you are having a medical emergency, call 999 or go to A&E

Both medications reduce appetite through different pathways, and their combined effect might lead to inadequate caloric and nutrient intake, potentially causing muscle loss, vitamin deficiencies, or metabolic complications

It may be that you are not at the maximum maintenance dose yet, have not been using it long enough, or need to make some lifestyle changes

Focus on protein-rich foods, which create more heat when digested than carbohydrates or fats (they have a higher thermogenic effect)

On the technology front, Sprout Health is structured around asynchronous and synchronous communication nodes - a balance of live video consultations and message-based coaching that allows for high-touch care without unnecessary time drain