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In some cases, this might make phentermine less effective

However, as with any medication, there are some risks and side effects

Favor low-fat meals for a few hours around dosing

Contact your healthcare provider urgently if fatigue is severe and debilitating, prevents normal activities, persists without improvement, or occurs with warning signs such as severe abdominal pain, dehydration symptoms, hypoglycemia signs, persistent vomiting, or jaundice

Practical example: if you inject every Wednesday at 6 PM and want to switch to Saturday morning, you would simply skip your Wednesday injection and instead inject Saturday morning