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Common and Systemic Side Effects Dermal/Pigmentation: General skin darkening (tanning), and crucially, the darkening and potential change in shape or size of pre-existing moles (nevi)
High discontinuation rates and lower real-world adherence dilute the results observed in pharmaceutical-sponsored studies
These effects work together rather than separately
Headache or light fatigue immediately after injection
Low blood sugar (dosage adjustment of diabetes medications may be necessary during phentermine therapy)
Consider whether undiagnosed sleep apnea might be contributing
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