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Vision changes: New or worsening diabetic eye symptoms should be reported

More serious complications from GLP-1 RAs include an increased risk of thyroid cancer,5 gallbladder disease,23 pancreatitis,6 or gastroparesis.29 Phentermine and topiramate have some similar GI side effects, but both add dry mouth to the picture.24 Topiramate can also cause drowsiness, tremors, and some minor bleeding issues like nosebleeds or excessive menstrual bleeding.25 Testosterone replacement therapy safety Testosterone replacement therapy (TRT) poses several significant risks to those who take these drugs and those who live with the patient

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They list side effects for each drug separately, as if you are reading two different pamphlets stapled together

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Consistency supports steadier results and fewer gastrointestinal side effects