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People who are pregnant or breastfeeding, those with kidney disease, seizure disorders, or thyroid conditions, and anyone on medications that could interact should avoid it unless a physician specifically approves it

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Connolly HM, Crary JL, McGoon MD, Hensrud DD, Edwards BS, Edwards WD et al (1997) Valvular heart disease associated with fenfluramine-phentermine

So, those initial sensations you felt were likely your body responding to these active ingredients working their magic