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[18] General adverse effects reported with hydrochlorothiazide include muscle spasm (muscle cramps), impotence (erectile dysfunction), fever, and weakness
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It made it all that much more efficient
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I would encourage anyone filling a prescription for these medications to use a licensed retail pharmacy that dispenses medications manufactured in an FDA-approved facility. They should also ensure that they are seeking treatment with a provider who has expertise in prescribing weight loss medications and obtain the name brand medications