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Rivas does not prescribe phentermine to patients currently taking stimulant ADHD medications such as Adderall (amphetamine) or Ritalin (methylphenidate)

Recent advances in the understanding of the roles gut peptides play in energy homeostasis has led to the identification of several that are known to modulate eating behaviour, including glucagon-like-peptide-1, oxyntomodulin, pancreatic polypeptide and peptide YY 336 , all of which respond to nutrients within the gut, interacting with specific receptors to regulate appetite

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Studies show that vegans and vegetarians who dont take any B12 supplements have markedly lower B12 status and may be at risk of deficiency or already deficient (Gallego-Narbn et al., 2019