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Marked body composition changes tend to only become evident after a few months, with more obvious visceral fat reductions observed by 6 to 12 months and even up to 104 weeks in longer trials

Gout is also more common in people with diabetes and metabolic syndrome, and acute flares can be triggered by dehydration or changes in diet

The FDA label for phentermine explicitly states that the safety and efficacy of combining it with other weight-loss products has not been established, so combining it on your own is not a good idea

These adjustments typically resolve within days as your body stabilizes

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