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Clinical trials indicate that Orlistat, when used in conjunction with a reduced-calorie diet and increased physical activity, can lead to an average weight loss of approximately 5-8% of initial body weight over a year

[8] Although not an absolute contraindication, patients with coronary artery disease or unstable angina should only use B-Complex injections containing niacinamide under physician supervision, since high-dose niacin supplements have been linked to arrhythmias in such patients

As we treat a larger population, we should watch for the mood side effects because changes in body weight do affect peoples mood, she explained

An 8-week double-blind randomized placebo-controlled trial in 62 patients with PWS demonstrated an improvement of hyperphagiaevaluated as behavior and severity scores by Dykens Hyperphagia Questionnaireafter Topiramate group versus placebo group, with no effects on BMI [95]

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