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Common side effects include: Nausea Vomiting Diarrhea or constipation Reduced appetite Less common considerations: Injection-site reactions Temporary digestive discomfort Rare skin-related reactions Any worsening of skin symptoms should be reported to a healthcare provider promptly

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Orlistat does not act hormonally, but by reducing fat absorption, it may impair the absorption of fat-soluble vitamins (A, D, E, and K), which play supporting roles in reproductive and general health

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One study in particular showed that African American women experience the worst vasomotor symptoms (hormone-related temperature dysfunction, e.g., hot flashes and night sweats), while Asian women reported the most mild

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