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Metabolic acidosis (too much acid and low serum bicarbonate levels) Kidney stones, osteomalacia, and osteoporosis Birth defects during pregnancy Decreased kidney function Allergic reactions (skin reactions and breathing problems) Note that phentermine and topiramate can cause unexpected changes in your mental health, including suicidal thinking and behaviors, within a week of starting treatment

Another is that poor sleep activates a brain region that triggers food cravings and rewards eating junk food

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however, there is a complete lack of environmental monitoring of these drugs

During week two, your body wont feel as beat up after a workout

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