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Schwartz wondered if a similar cleavage might be found in GLP-1 (Molteni, Chen)

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The primary risks include cardiovascular effects (phentermine can increase heart rate and blood pressure), compounded gastrointestinal adverse effects (nausea, vomiting), excessive appetite suppression leading to nutritional deficiencies, and potential mental health effects such as anxiety or mood changes

That is why the first month tends to be the most intense for side effects, including thirst, and why symptoms generally improve as your body reaches a new equilibrium