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Levels drop with age and stress, which is why many people supplement it
If you start gaining weight, your provider can assess what might be contributing, adjust your dose if needed, and work with you to create a plan to get back on track
This reduces hunger signals and can significantly quiet what clinicians call "food noise," the constant mental preoccupation with eating that many people experience
Phentermine/Topiramate (Qsymia ) and Naltrexone/Bupropion (Contrave ) offer robust support for reducing hunger or cravings and may help sustain results
It is a matter of receiving personalized medical assistance and not just randomly determining what would be safest and most effective
It can meaningfully amplify how well it works
