can i take tirzepatide and topiramate together Is it appropriate to prescribe Topamax (topiramate) combined with phentermine for weight loss in an adult patient? 📢 ACP Obesity Guidelines 2026

Contact your GP or healthcare provider if you experience any of the following: Heartburn occurring more than twice weekly despite self-management strategies Symptoms persisting beyond 2 weeks of over-the-counter treatment Difficulty swallowing (dysphagia) at any age this requires urgent referral for endoscopy Pain when swallowing (odynophagia) Unintentional weight loss (distinct from expected weight reduction on tirzepatide) Persistent nausea or vomiting, particularly if you cannot keep down fluids Evidence of gastrointestinal bleeding, including vomiting blood, black tarry stools, or blood in vomit Severe or persistent abdominal pain Symptoms of anaemia such as unusual tiredness, breathlessness, or pale complexion If you are aged 55 or over with persistent or new-onset heartburn plus weight loss and upper abdominal pain/reflux/dyspepsia Seek urgent medical attention (contact 999 or attend A&E) if you experience: Severe chest pain, particularly if radiating to the jaw, neck, or arm (to exclude cardiac causes) Sudden, severe abdominal pain Persistent vomiting preventing fluid intake, risking dehydration Signs of severe dehydration including reduced urination, dizziness, or confusion For urgent but non-life-threatening concerns outside of GP hours, contact NHS 111 for advice

CT: Will this change the way you administer PET scans to someone taking GLP-1s

Melanoma is a malignant tumor that develops from pigment-producing skin cells (melanocytes)

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Prepare for Treatment Before your weight loss program begins, we may recommend checking your hormones by one of our physicians, but we encourage you to implement the following healthy habits into your everyday routine: Getting at least 8 hours of sleep each night