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After 28 weeks, the results showed people in each of the treatment groups lost on average: 20 pounds (lb) with a combination treatment of 15 milligrams (mg) phentermine with 92 mg topiramate 13.6 lb with 15 mg phentermine only 14.7 lb for 92 mg topiramate only This suggests that taking the drugs together rather than separately may result in greater weight loss

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Not approved by the FDA or TGA.

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[Link] The above study found that People with low carnitine levels see a major decrease in brain function