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Delayed gastric emptying, gastroparesis-like symptoms, intestinal obstruction, biliary disease, and pancreatic safety concerns were variably reported, with heterogeneous and sometimes conflicting evidence across studies

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That is a clinically useful result for a short-term, low-cost agent but it is roughly half to a third of what semaglutide achieves over a longer horizon, and phentermine's effect is studied over a much shorter window

This review typically happens within 24 hours