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[DOI] [PMC free article] [PubMed] [Google Scholar] 10.Martin E, Senders JT, DiRisio AC, Smith TR, Broekman MLD

[3] Other common adverse effects reported during the clinical trials include back pain, upper respiratory tract infections, melanocyte naevus, decreased appetite, migraine, dizziness, weakness, fatigue, lethargy, sleepiness, hot flashes, abdominal pain, diarrhea, vomiting, flushing, development of warts, spots, and freckles, and itchy skin (between 1% and 10% of people)

Phentermine is a sympathomimetic agent that increases heart rate and blood pressure through norepinephrine release