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If it does not improve, your provider can evaluate a slight dose reduction, advise reducing caffeine and other stimulants, or discuss alternative appetite suppressants such as Tenuate or Phendimetrazine, which work through different mechanisms and tend to cause less sleep disruption

Pun RY, Rolle IJ, Lasarge CL, Hosford BE, Rosen JM, Uhl JD, et al

Rotation of injection sites: Avoid local skin reactions