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What actually matters is consistency

doi: 10.1016/j.bbrc.2014.03.004 [DOI] [PubMed] [Google Scholar] 52.Li J, Li N, Yan S, et al

Second, adjust your diet

Phentermine commonly causes jitteriness, insomnia, elevated heart rate, and anxiety due to its stimulant action

You kind of hinted at this
