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Seek urgent medical help by calling 999 or attending A&E if you experience symptoms of serotonin syndrome (confusion, agitation, rapid heart rate, muscle rigidity, high fever, or seizures) or severe adverse effects after combining fluoxetine with any weight loss product

A fully frozen gel pack placed directly against a vial can freeze the medication, which is equally destructive as overheating

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Seek medical advice if you have: Timely evaluation rules out other underlying conditions