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Some patients notice increased hair shedding 2 to 4 months after starting phentermine

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However, some potential side effects may include: Gastrointestinal upset Fatigue Irritability Jitteriness Pain or swelling at the injection site Nausea Diarrhea or constipation Dry mouth Increased heart rate Anxiety Insomnia It's important to monitor for any severe adverse reactions, such as: signs of an allergic reaction throat discomfort fatigue dry mouth body pain pain or swelling at the injection site nausea or vomiting headache dizziness or lightheadedness If you experience any of these symptoms or other side effects, it's crucial to seek medical advice