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Additionally, certain bacterial metabolites directly influence incretin hormone expression

We do not treat patients with symptoms of an active eating disorder with weight loss medication, including bulimia nervosa, anorexia nervosa, or binge eating disorder

Phentermine contributes increased heart rate, insomnia, dry mouth, and constipation
If all else fails, or if the bad taste is too strong, or if it just isn't going away, you might consider talking to your doctor