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However, if your symptoms are purely neurological (such as brain fog, anxiety, or mood swings) and you dont experience any of the other symptoms, its less likely that these sensitivities are the cause, and an elimination diet may not be necessary

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Phentermine failures can occur because the appetite suppression was insufficient, because tolerance developed too quickly, or because the patient eating patterns were driven by factors other than hunger (emotional eating, habit, environment)

For instance, folate has been found to modify the level of methylation within exons 6 and 7 of the colonic p53 but not that of exon 8 ( Reference Kim, Pogribny and Salomon 66 )