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Emergency treatment for anaphylaxis includes intramuscular adrenaline, oxygen therapy, intravenous fluids, and antihistamines (as an adjunctive treatment only), followed by a period of observation in hospital (typically at least 6 hours, and potentially longer if severe or if there are risk factors for a biphasic reaction)

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Phentermine/topiramate (Qsymia) is taken once daily

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They should discuss the likely range of outcomes honestly, including the possibility that drops may not work for some patients