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Individual experiences vary, with some patients reporting no energy changes while others experience significant tiredness

A 2000 comparative study published in the Journal of Medicine has also found that people with type 2 diabetes often have problems with blood coagulation, and a glucose clamp (GC) may help ( 4 )

As a sympathomimetic amine, phentermine directly stimulates the release of norepinephrine and can cause significant heart rate increases, blood pressure elevation, and pronounced palpitations

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Most of these symptoms are temporary, and usually subside after a few weeks of using the medication