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Additionally, many of the elemental formulas have added iodine , which can exacerbate Hashimotos in excess amounts

Do not combine phentermine with GLP-1 medications, other appetite suppressants, or stimulants without explicit prescriber guidance

Margulies KB, Hernandez AF, Redfield MM et al (2016) Effects of Liraglutide on Clinical Stability Among Patients With Advanced Heart Failure and Reduced Ejection Fraction: A Randomized Clinical Trial

However, both compounds individually cause: Nausea (60-80% of users at higher doses) Vomiting (20-35%) Diarrhea (25-40%) Injection site reactions (15-25%) Potential pancreatitis (rare but serious) Combining these compounds could theoretically amplify these effects, though the actual incidence and severity remain unstudied