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Sequential Use Starting with phentermine, then switching to semaglutide: This approach has some logic: Potential rationale: Use inexpensive phentermine for initial weight loss Transition to semaglutide for long-term maintenance May reduce total semaglutide cost by starting at lower weight Considerations: Weight often regains during transition period Starting semaglutide requires new titration period regardless May simply delay achieving optimal treatment More practical sequence: If budget is the concern, starting with semaglutide and continuing it long-term typically produces better results than starting with phentermine and switching
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