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Consider the Entire Weight Loss Journey While you have a discussion, make sure you communicate information about your previous attempts to lose weight
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Most patients report weight loss within the first four weeks
Harper et al
It lists caffeine-based thermogenics as raising heart rate, jitteriness, and arrhythmia risk, and calls synephrine from bitter orange a sympathomimetic that elevates blood pressure and causes tachycardia, describing it as contraindicated in many cases
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