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Its narrow therapeutic range means even small changes can have significant effects
The most common ones include: Nausea Diarrhea or constipation Vomiting Abdominal pain Indigestion Qsymia (phentermine + topiramate) Qsymia affects the brain and nervous system, so its typical side effects are more likely to involve mood, energy, and sensations

DeGruttola AK, Low D, Mizoguchi A, Mizoguchi E

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