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Many patients who plateau on phentermine are switched to Qsymia for continued results

Gentle stretching exercises , particularly before bed and after physical activity, can help reduce the frequency and severity of cramps

No Dieting You can still eat your favorite foods, you'll just notice you don't want to eat as much

So the spiro + COC combination treats hirsutism and acne faster than either alone, with the combined-OC-plus-spironolactone-vs-metformin comparison generally favoring the spiro/COC arm for hirsutism endpoints