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Patients should call 999 or attend the nearest Accident & Emergency department if they develop: Difficulty breathing or swallowing Swelling of the face, lips, tongue, or throat (angioedema) Widespread urticaria (hives) or severe skin rash Dizziness, light-headedness, or loss of consciousness Rapid heartbeat or chest tightness These symptoms may indicate anaphylaxis, a life-threatening allergic reaction that requires urgent treatment with intramuscular adrenaline and supportive care

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Ontarios drug plans cover some of these medications under certain conditions, so be prepared to pay for out-of-pocket costs or private insurance

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If you have been at a dose that previously produced noticeable appetite suppression and that effect suddenly disappears, potency loss is a possible explanation

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