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This one-two punch can be more effective for patients who have struggled with stubborn metabolic resistance

However, this stimulant effect is also why phentermine is strictly a short-term solution

Over-the-counter lidocaine cream (4-5%) applied to the injection site 30-60 minutes before injection effectively numbs the skin

It is designed to establish baseline tolerance and begin the process of metabolic adjustment that makes higher doses effective and manageable

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There is very little scientific research, papers or formal clinical research to support the efficacy and safety of fat dissolving using Vitamin B and bromelain