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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

Gallbladder disease rises with faster, larger weight loss

Lemmes debloat supplements promise to "support" digestion and help you kiss away bloat, but they have their limitations

Using the supplement after this date may reduce its effectiveness

Pharmacological management may be appropriate for persistent symptoms