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Occasional reports include temporary fatigue or lethargy (5-10% of users), mild headaches in the first few days of use, slight water retention, or transient flushing at injection sites

A person can lose around 10% to 11% of their total body weight after a year of taking the max dose (15mg phentermine/92mg topiramate) of Qsymia every day, according to a study published in the Annals of Pharmacotherapy

The consultation itself is a $30 charge separate from the medication, and the call quality and clinical depth were strong

They also note that they did not include all possible drugs found in toxicology

In: Fossi MC, Panti C, editors