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Rushing this process, skipping dose levels, or starting at a higher dose to accelerate weight loss dramatically increases side effect severity

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However, the following red flags should prompt you to seek medical care right away: Severe abdominal pain, nausea, vomiting, or diarrhea Dark urine and yellowing of the eyes, signifying liver damage Difficulty concentrating, poor memory, or confusion Sudden mood swings, anxiety, or depression Intolerably dry mouth, eyes, or skin Reproductive health troubles, such as menstrual changes, fertility issues, and performance problems Consult your healthcare provider immediately and stop taking both substances unless advised otherwise