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If you miss a dose, the MHRA SmPC advises that you can administer the missed dose within 4 days (96 hours) of the scheduled time

Can I push some back into the vial

However, the final decision should reflect your values, preferences, and comfort level with the available evidence

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A licensed healthcare provider will review your health and medical history to determine if you qualify for Phentermine treatment and discuss your options with you before prescribing medication