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Take a careful medical history and perform a physical examination.

Look at your personal weight history.

Ask whether you have relatives with illnesses related to overweight, such as type 2 diabetes mellitus or heart disease.

Discuss the methods you have used to lose weight in the herbal past.

Evaluate your risk for obesity-related health problems by measuring your blood pressure and doing blood tests.

If your doctor determines that you have obesity-related health problems or are at high risk for such problems, and if you have been unable to lose weight or maintain weight loss herbal with nondrug treatment, he or she may recommend that you use prescription weight-loss medications. Weight-loss medications may be appropriate for carefully selected patients who are at significant medical risk because of their obesity. They are not recommended for people who are only mildly overweight unless they have health problems that herbal are made worse by their weight. These medications should not be used only to improve appearance.

What other medical conditions or medications might influence my decision to take a weight-loss medication?

It is important that you notify your physician if you have any of the following medical conditions: herbal

Pregnancy or breast-feeding

History of drug or alcohol abuse

History of an eating disorder

History of depression or manic depressive disorder

Use of monoamine oxidase (MAO) inhibitors or antidepressant medications

Migraine headaches requiring medication

Glaucoma

Diabetes

Heart disease or heart condition, herbal such as an irregular heart beat

High blood pressure

Planning to have surgery that requires general anesthesia

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