That can actively cause vitamin B12 deficiency
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Phentermine should not be taken by people with the following conditions: History of heart problems, such as coronary artery disease, stroke, arrhythmias, heart failure, or uncontrolled high blood pressure Hyperthyroidism Glaucoma History of drug abuse Agitation Pregnancy or breastfeeding Allergic reaction to phentermine or a similar drug Because of the risk of severely high blood pressure, phentermine is also contraindicated in those who take or have taken MAOIs within the last 14 days
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Magnetic resonance spectroscopy analysis often shows decreased levels of N-acetylaspartate [109]