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However, it does suggest a biologically plausible reason some people report reduced urges related to alcohol, food, or other compulsive patterns

Subjects reported episodes of nausea ranging from short (minutes) to long (full days) duration (median: 3.9 days [min, max: 0.01, 95.6])
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The stimulant nature of phentermine is another issue

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Some of the main metabolic pathways it affects include: Regulates the amount of insulin that your pancreas releases after a meal
