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If you havent been drinking enough water, your blood may be too thick for the apheresis machine (the machine that separates plasma), or you may feel lightheaded and faint during the process
Serum Potassium In the 1-year controlled trials of phentermine and topiramate extended-release in adults, the incidence of persistent low serum potassium values (less than 3.5 mEq/L at two consecutive visits or at the final visit) during the trial was 3.6% for phentermine and topiramate extended-release 7.5 mg/46 mg dose and 4.9% for phentermine and topiramate extended-release 15 mg/92 mg, compared to 1.1% for placebo
Patients should maintain adequate hydration, especially during the initial weeks when nausea may reduce fluid intake, and continue balanced nutrition despite reduced appetite to ensure adequate protein and micronutrient intake
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