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The surgery may be performed by arthroscopy (keyhole surgery) or open surgery if proximal bicep tenodesis is part of a larger surgery

If this doesn't bring improvements, I'll then try nasal drops (Gambit62 - who had similar problems - recently wrote in a post that she didn't start to improve until she started using the nose drops)

[7] Serious but rare complications include primary pulmonary hypertension or valvular heart disease, previously seen with Fen-Phen but not definitively linked to phentermine alone

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