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Side effects of phentermine can include pulmonary hypertension, valvular heart disease, increased heart rate or blood pressure, insomnia, restlessness, dry mouth, diarrhea, constipation, and changes in sexual drive [14]

This is important because there is a high burden of CVD among people with diabetes, and, with ageing of the population, stroke in particular is becoming more frequent among people with type 2 diabetes [20]

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