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Prolactinomas are generally more aggressive in men than in women, with higher proliferation (assessed by Ki-67), cellular atypia, angiogenic and proliferative features, and greater invasiveness 136,137,138,139

Phentermine can reduce immediate hunger signals and reduce cravings, while topiramate reduces the reward sensation of eating and helps you feel full for longer after a meal

This can lead to liver injury or acute liver failure, a potentially life-threatening condition

For more context on how treatment can fit into a broader weight management plan, you may also find our article on GLP-1 therapy and weight loss journeys helpful

However, clinical guidance and nutritional science provide helpful frameworks for determining appropriate intake