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Orlistat can change the way the following medications work: anticoagulants such as warfarin ciclosporin iodine salts or levothyroxine amiodarone HIV treatments antidepressants anti-anxiety medications antipsychotic medications Orlistat and pregnancy Do not use orlistat if you are, think you are, or trying to get pregnant

doi: 10.1080/1028415X.2017.1421039 164

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Trimethylamine is subsequently converted into TMAO by flavin-containing monooxygenases in the liver