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As always, all references are listed below

Common side effects include (listed alphabetically): Constipation Dizziness Dry mouth Headaches Insomnia (mostly due to the phentermine) Loss of taste Numbness or tingling in your arms and legs Some of the more serious side effects include (listed alphabetically): Birth defects (cleft lip/cleft palate) if taken while pregnant Blurry vision or not seeing as well (a side effect from topiramate) Mood changes, panic attacks, depression, suicidal thoughts Racing heart or slightly rapid heartbeat (a side effect from phentermine) You should mention the more serious side effects to your provider as soon as possible (for a full list of side effects, please visit the manufacturers website)

The long-term safety profile of these drugs is yet to be spelled out to ease patient fears and engender trust

L-Carnitine and intestinal inflammation. Vitam Horm