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Not recommended for: Patients with a history of pancreatitis Those with medullary thyroid carcinoma or MEN2 Pregnant or breastfeeding individuals People with severe gastrointestinal disorders (e.g., gastroparesis) For individuals who are not suitable for these options, alternative prescription weight loss options may be explored , such as bupropion-naltrexone (Contrave) or phentermine-topiramate (Qsymia), depending on the clinical picture