Phentermine works through the central nervous system rather than the GLP-1 pathway. It increases norepinephrine signaling to help reduce appetite and is generally taken during waking hours under provider direction.
It is an oral prescription option for patients who prefer a pill or may benefit from a different mechanism. The plan is based on medical history, current medications, blood pressure, prior response, goals, and tolerability.
Phentermine is FDA-approved for short-term weight management. Rivas may use it longer term under ongoing supervision when clinically appropriate; longer-term prescribing is off-label and requires continued monitoring.