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Skipping meals or going long stretches without food can paradoxically increase hunger hormones once the medication's appetite-suppression window closes, leading to compensatory overeating

Previously served as medical director for one of three comprehensive stroke care programs in the state of Indiana

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Mild nausea Reduced appetite Constipation Bloating or fullness Fatigue Mild dizziness Occasional diarrhea Feeling full after much smaller meals Not every patient develops side effects, and many continue their normal daily activities with only minor changes in appetite

Many patients wrongly conclude their medication has stopped working when they have actually traded fat for musclea metabolic win even if the number doesn't move