Avoid use during pregnancy or breastfeeding unless your provider decides the benefits outweigh the risks
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Sawada M, Yokota K, Matsumoto T, Shibata S, Yasue S, Sakakibara A, et al
It is also important to be vigilant about symptoms that may indicate kidney stress during treatment, including: Reduced urine output or dark-coloured urine Swelling in the legs or ankles Persistent nausea, fatigue, or confusion Flank or lower back pain If any of these symptoms develop after starting a weight loss medication, you should stop the medication and seek medical advice promptly