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If you experience unexpected changes in appetite suppression, energy, or side effect severity, report these to your prescriber immediately

doi: 10.1111/dom.13985 [DOI] [PMC free article] [PubMed] [Google Scholar] 193.Geiser JS, Heathman MA, Cui X, et al

Less common side effects, affecting fewer than 1 in 100 people, may include a faster heart rate, low blood sugar (also known as hypoglycemia), kidney stones and pancreatitis

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According to a 2020 review, research studies have found some evidence suggesting that some hysterectomies that spare the ovaries may speed up the onset of menopause