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Your provider may keep you at the same dose longer if you are still experiencing side effects or have not yet stabilized

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Leptin does not directly affect CNS serotonin neurons to influence appetite

Can occur with Synjardy: joint pain upper respiratory infections, such as the common cold Can occur with Invokamet: constipation increased thirst vaginal itching Can occur with both Synjardy and Invokamet: diarrhea gas or bloating headache increased urination indigestion low vitamin B12 level fungal genital infections in males nausea or vomiting upset stomach urinary tract infections (UTI) vaginal yeast infections weakness lack of energy Serious side effects These lists contain examples of serious side effects that can occur with Synjardy, with Invokamet, or with both drugs (when taken individually)

Acta 1546 , 2143 (2001)