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The following adverse reactions have been reported during post approval use of QSYMIA, phentermine, and topiramate
doi:10.1161/ATVBAHA.110.210906
Too much of one suppresses the other, leading to secondary deficiencies even when intake is good
Cascone T, William Jr WN, Weissferdt A, Leung CH, Federico L, Haymaker C, Bernatchez C, Fossella FV, Mott FE, Papadimitrakopoulou VA, Byers LA, Lam VK, Godoy MC, Lee JJ, Vaporciyan A, Givvons DL, Swisher SG , Heymach JV, Sepesi B
Adding vitamin C helps NAC absorption, but don't take NAC with zinc, copper, or iron supplements because NAC binds to these minerals
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