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Management Principles Fluid replacement: Start with 0.9% normal saline to correct dehydration

Treatment results were immediate

Phentermine is chemically and pharmacologically related to the amphetamines which have been extensively abused

Injectable: Injection site redness, swelling, or discomfort are the most frequently reported effects

Metformin , the first-line treatment for type 2 diabetes, is associated with reduced B12 levels in approximately 1030% of long-term users

Metabolic rate (influenced by thyroid function, body composition, and physical activity) also modulates drug clearance, with higher metabolic rates potentially shortening half life and lower rates extending it