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That title belongs to phentermine, a generic drug that has been around for decades and has managed to hold its own despite the arrival of new competitors. The drug is viewed as effective and relatively safe to help jump-start diets in patients who are obese. However, phentermine — a stimulant that can give users an inexpensive high — has a long history of misuse.

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The health risks and medical concerns associated with taking this weight loss drug are outlined below. This information is either from the FDA site about the drugs side effects seen during clinical trials or the Adiipex label warning content and fine print for the physicians. These risk factors have to be mitigated before you start taking the drug.

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Phentermine and topiramate extended-release long-acting capsules are used to help adults who are obese or who are overweight and have weight-related medical problems to lose weight and to keep from gaining back that weight. Phentermine and topiramate extended-release capsules must be used along with a reduced calorie diet and exercise plan. Phentermine is in a class of medications called anorectics. It works by decreasing appetite.

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