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Initial side effects (diarrhoea, vomiting, constipation, dizziness, nausea) can be gruesome enough to send people to A&E, and patients can also experience hair loss, a result that is caused by rapid weight loss rather than by the drug itself
Many people who are not ready for or do not qualify for bariatric surgery find this to be an excellent alternative
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Be aware that prolonged use can lead to rebound congestion
That means the risk-return calculation has shifted: cheaper isnt always safe
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