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No relief: If your bloating does not improve with over-the-counter treatments or lifestyle adjustments (such as changing your diet or increasing physical activity), or if it worsens, seek medical advice

Medical bodies warn that off-label or unsupervised use carries unknown risks

This gastrointestinal response typically peaks in the first two weeks and improves as your body adapts, but targeted relief strategies can speed up comfort and help you stay consistent with your therapy

PubMed Sikiric P, et al

The diet medications Qsymia, phentermine (including Lomaira), diethylpropion, and phendimetrazine are Schedule IV drugs