A major concern is the rise of online and over-the-counter availability, which may bypass proper prescription channels
Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) : This is a rare inherited disorder that significantly increases the risk of MTC, phaeochromocytoma, and parathyroid tumours
Swallow tablets whole (do not split, crush, chew, or dissolve)
Any yellowing, browning, or other discoloration is a red flag
Weight regain commonly occurs when the medication is discontinued, so most patients continue treatment to maintain their weight loss results along with lifestyle modifications
This cognitive-computational shift appears to mimic the effects of neuropsychiatric symptoms on motivational cognition in other clinical groups