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Phentermine cannot fully overcome the biology of chronic sleep deprivation, so patients running consistently short on sleep will find weight loss harder regardless of medication

Anemia can cause weakness and fatigue

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Symptoms of vitamin B12 and folic acid deficiency anemia include: Shortness of breath Headache Indigestion Loss of appetite Heart palpitations Vision problems Feeling weak or tired Diarrhea Pain or redness of the tongue, sometimes with mouth sores Problems with memory, comprehension, and judgment (cognitive changes) Some of these symptoms may also occur in people who are deficient in vitamin B12 or folic acid but are not anemic

A provider should help determine which option fits your goals and safety needs