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Patients should be aware that any weight loss associated with lipotropic programmes likely results from concurrent dietary restrictions and lifestyle changes rather than the injections themselves

Pale skin Heart palpitations Shortness of breath A smooth tongue Vision loss Constipation Loss of appetite Diarrhea Gas Vision loss Mental problems like depression, memory loss, or behavioral changes Nerve problems like numbness or tingling, muscle weakness, and problems walking

That lack of communication added to the confusion and made it impossible to know what was actually available

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