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That left only one option: a

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You should not consider Phentermine under these circumstances: If you have a history of heart disease, stroke, or irregular heart rhythms, avoid Phentermine because the medication can increase the risk of serious heart problems

The "IV" stands for intravenous, which just means "into the vein." It sounds intimidating if you've never done it, but most people describe it as a tiny pinch at the start, and then nothing