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Per results of a phase 1 study, a long-acting GIPRA used in combination with a rapidly escalated, selective GLP-1RA demonstrated mild weight loss with reduced gastrointestinal adverse events in participants with or without T2D [17]

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The incidence of hyperammonemia in pediatric patients 12 to 17 years of age in clinical trials of another condition was 26% in patients taking topiramate at 100 mg/day (1.1 times the maximum recommended dosage of phentermine and topiramate extended-release) and 14% in patients taking topiramate at 50 mg/day (0.6 times the maximum recommended dosage of phentermine and topiramate extended-release), compared to 9% in patients taking placebo

If changing the weekly administration day, ensure the new injection is given at least 72 hours after the last dose