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Crimmins says the desire to be thin alone is not a reason to prescribe a weight loss medication, she does wonder to what degree mental health and outside pressures which she acknowledges as quite real should play into prescriber decisions

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Vomiting: In some cases, nausea may lead to occasional vomiting, particularly when the dosage is increased

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They are serious clinical consequences that develop insidiously and may not be reversible once established

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