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Pancreatitis: Severe abdominal pain, nausea, and vomiting may indicate inflammation of the pancreas

The studies that were deemed high quality found chitosans impact on body weight to be minimal ( A small 2014 clinical trial found that supplementing with 3 grams of chitosan per day may be more effective for weight loss when paired with 2 grams of L-ascorbic acid a type of vitamin C ( Summary There is not consistent scientific evidence supporting chitosan use for weight loss

Journal of Metabolic Therapeutics, 45(3), 287-304

Phentermine-Specific Risks Phentermine can cause increased heart rate, elevated blood pressure, anxiety, and restlessness

Protein and micronutrient adequacy should also be assessed