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The study by Yang et al

Summary: Fluoxetine should not be combined with weight loss pills without medical supervision due to risks of serious drug interactions, serotonin syndrome, and cardiovascular effects

PlexusDx providers monitor your progress and adjust timing based on your individual response, ensuring consistent forward momentum rather than stagnation

It might also trigger or worsen side effects like nausea

Other options include switching to tirzepatide (a dual-pathway compound at $289/mo month-to-month, or from $249/mo on the 6-month plan), trying oral semaglutide ($289/mo), or getting the Precision Peptide Genetic Test ($99) to understand your individual peptide-pathway sensitivity