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Many supplements contain stimulants like caffeine or serotonergic ingredients such as 5-HTP or St John's wort, which can cause dangerous interactions including serotonin syndrome, cardiovascular strain, or worsening anxiety

Like, I was never I never sort of hit the threshold of obesity where someone was like, okay, heres what we need to do

Always consult your healthcare provider before making changes to your medication regimen, especially during illness

Most weight loss specialists now avoid this pairing in favor of maximizing a single, well-tolerated agent first before considering additions

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