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This is something that we look out for and monitor within our patients, therefore aiding patients not to view Phentermine as a crutch. Psychological dependence is the main reason we do not recommend Phentermine use for those seeking only modest weight loss

really helps with focus at work

Some side effects will go away over time

Vitamin b12 is a water-soluble vitamin

Better Sleep Quality: While not a direct sleep aid, by improving overall energy metabolism and nervous system function, B12 can indirectly contribute to more regulated sleep patterns and improved sleep quality for some individuals

Patients may also have tophi on exam, which are nodules that represent the chronic inflammatory granulomatous response to the monosodium urate crystals, often occurring over the first MTP, Achilles tendon, peroneal tendon, helix of the ear, olecranon bursa, and finger pads