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Recently, a review of fifty reports involving 43,443 subjects compared the efficacy of the central acting anti-obesity drugs lorcaserin (5HT2c receptor agonist), naltrexone-bupropion (opioid receptor antagonist combined with a norepinephrine releasing agent that stimulates POMC neuronal firing), phentermine-topiramate (a norepinephrine and dopamine modulator plus a carbonate anhydrase inhibitor), and liraglutide

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However, there is no NICE or NHS recommendation for adolescents aged 12-17

In such cases, the focus should shift to investigating potential underlying causessuch as myeloproliferative disorders, liver disease, or renal dysfunctionrather than attributing symptoms to the elevated B12 itself

doi: 10.1016/j.jhep.2008.12.031 112 TranAAPrasadV

Additionally, National Guard and Reserve members, as well as certain surviving dependents, also qualify for coverage under Tricare