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Other potential risks include: Increased heart rate and palpitations from phentermine's stimulant effects Insomnia and anxiety , as phentermine affects the central nervous system Hypoglycaemia risk if Rybelsus is combined with insulin or sulfonylureas Dehydration from reduced fluid intake due to appetite suppression and gastrointestinal losses There is insufficient clinical trial data examining the safety profile of this specific combination

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Stage 1: No Apparent Retinopathy At this initial stage, your retina appears normal on examination despite having diabetes
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10.1177/1357633x16657500 [EL 1

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