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Orlistat does not act hormonally, but by reducing fat absorption, it may impair the absorption of fat-soluble vitamins (A, D, E, and K), which play supporting roles in reproductive and general health

doi:10.31080/ASNE.2024.07.0731 9

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Although we did not look at sex differences in discontinuation reasons, research work has shown that women experience nausea and vomiting (side effects) at 2.5-fold higher rates than men ( 11 )