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You should generally avoid this combination if you have: Uncontrolled high blood pressure A history of heart attack, stroke, or irregular heartbeat Glaucoma An overactive thyroid (hyperthyroidism) A personal or family history of medullary thyroid carcinoma (MTC) A history of drug or alcohol misuse It is also important to note that phentermine is not recommended for people who have taken a monoamine oxidase inhibitor (MAOI) in the last 14 days
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