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The author recommends consulting a doctor before taking new supplements in conjunction with weight loss medications

Craig ME, Hattersley A, Donaghue KC

Alternative medication If Phentermine-Topiramate is not suitable or effective for an individual, there are alternative medications available for weight management

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Previous literature has demonstrated that these thresholds are clinically meaningful within-patients [21, 22, 41]

The fatigue typically stems from three sources: reduced caloric intake (you are eating less, which means less fuel), GI discomfort (nausea and stomach issues are exhausting), and metabolic adjustment as your body adapts to new hormone signaling patterns