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Both carry real side effects

Doctor consultations

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To decrease appetite and mimic the effects of the medication, include at least 25 grams of protein, 15 grams of fiber, less than 45 grams of carbohydrates and no more than 10 grams of added sugar and no more than 10 grams of fat in your first meal of the day

Nausea, vomiting, diarrhoea, decreased appetite, constipation, and abdominal discomfort are most common, usually during the dose-escalation period, and typically improve with time

For the sake of clarity, I have taken the liberty of considering them to be the same