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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

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In fact, an active lifestyle is encouraged during treatment for best results

Your vial label shows concentration in milligrams per milliliter

This design minimizes dosing errors during the escalation schedule