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In one study, 75% of people taking phentermine-topiramate lost at least 5% of their body weight after a year

Lean proteins and vegetables digest more easily during the adaptation period

The most serious risk, lactic acidosis, is extremely rare (estimated at 1-5 cases per 100,000 patient-years) and occurs almost exclusively in patients with severe kidney impairment or acute illness

So companies are putting them into skin products and dietary supplements you can buy over the counter

In some cases, the nausea improves over time as the body adjusts to the medication

They may recommend lowering your dose slowly instead of stopping all at once