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Because phentermine can affect heart rate, sleep, and blood pressure, it is important that dosing is carefully tailored and monitored

Human StudiesWhat We Know Heres the catch: all of the research mentioned above has been done in animal models

10.1017/S0954422416000275 Nutr Res Rev

The chronic use of any of these medications has the potential to cause complications related to vitamin B12 deficiency, which includes impaired DNA synthesis, impaired cell division, hematopoiesis, hyperhomocysteinemia, and metabolism of odd-chain fatty acids that is necessary in preventing demyelination of nerves

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