Phentermine and smoking. Take Phentermine Earlier.

Phentermine and smoking That being said, smoking will still lower the amount of muscle you can build. However, due to the potential health risks, phentermine must not be prescribed to anyone whose blood pressure has not yet been normalized with medications or lifestyle modification. Efficacy of Phentermine. Using phentermine with alcohol can increase the risk of cardiovascular side effects such as increased heart rate, chest pain, or blood pressure changes. May 29, 2023 · When phentermine is mixed with alcohol, the serious side effects of phentermine can be aggravated. 74–79 At present there are four different fixed drug combinations of this agent; a starting dose of 3. Smokers may require higher doses of medications. Oct 24, 2013 · or short-term obesity treatment in conjunction with lifestyle modifications, but is commonly used chronically. Phentermine has been considered a relatively safe drug to treat obesity, and further investigation is needed to decide the safety and dosage of phentermine. Jun 11, 2010 · I have used phentermine a few times over the last few months and have come to enjoy it's effects. Oct 1, 2024 · After 14 days, your doctor may increase your dose to 7. Do not combine phentermine with any alcoholic beverages. 9 Moreover, there are few reports about the effect and safety profile of phentermine in Korean. Before I literally felt like I was dying everyday and the energy that phentermine has given me is amazing. Jun 30, 2023 · There is no magic phentermine insomnia cure, but there are some common strategies that help phentermine insomnia go away. When I read… Find 2385 user ratings and reviews for Phentermine (Adipex-P, Lomaira) on WebMD including side effects and drug interactions, medication effectiveness, ease of use and satisfaction The study uses data from the FDA. Also mixing in cbd flower with the indica can help for rest. It is thought to cause weight loss by suppressing appetite. Nearly 40% of adults in the United States are obese. 0%) discontinued the use of phentermine. I only lost 5 pounds in 30 days. With Phentermine, my issues went away. Within the realm of phentermine and marijuana, the combination with topiramate paints a nuanced picture. Qsymia, the combination of phentermine and topiramate, results in more weight loss than Contrave but cannot be used in the acute preconception period, as its topiramate component is a known teratogen. I quit smoking last year & my symptoms are MUCH worse. Most users of each study drug were women (dexfenfluramine 86%, fenfluramine 87%, phentermine 90%) and were aged 49 years or younger (dexfenfluramine and fenfluramine 72%, phentermine 78%). Phentermine is mostly available in 30 mg tablets or 37. In contrast, patients using phentermine off-label for longer periods generally experienced greater weight loss that was sustained so long as they remained on medication. Jan 9, 2024 · Yes, you can smoke phentermine, but this is not necessarily the standard and safest way to consume this prescription drug. On December 24th, I started Phentermine. Phentermine is an anorexigen which had been approved for short-term use as a treatment of obesity by US FDA in 1959, and has been used since. If you start smoking or undergo smoking cessation, your doctor may need to adjust the dose of melatonin. For this reason, phentermine is unlikely to be a safe choice if you drink regularly, have an addiction to alcohol, experience alcohol cravings, or do not want to abstain from alcohol while taking phentermine. The combination of topiramate and phentermine has been approved by the FDA for use along with reduced dietary caloric intake for the management of obese subjects or overweight subjects with at least one weight related comorbidity. The prevalence is even greater among older adults and has been increasing during the past 15 years (). • Phentermine, like amphetamine, is a sympathomimetic drug and there are some concerns that it has addictive potential. For example, phentermine (Adipex-P, Ionamin) and diethylpropion (Tenuate) are two drugs that the U. Should I stop taking the phentermine all together or do I have to ween myself off of it? Feb 1, 1998 · The proposed research will characterize the acute and chronic effects of phentermine, a dopamine releaser, and fenfluramine, a serotonin releaser, alone and in combination, on responses to smoking, sm Feb 1, 1997 · The proposed research will characterize the acute and chronic effects of phentermine, a dopamine releaser, and fenfluramine, a serotonin releaser, alone and in combination, on responses to smoking, sm Feb 1, 1998 · The proposed research will characterize the acute and chronic effects of phentermine, a dopamine releaser, and fenfluramine, a serotonin releaser, alone and in combination, on responses to smoking, sm Aug 28, 1997 · She was otherwise healthy and did not smoke cigarettes. Food and Drug Administration (FDA) since 1959, and it is the most frequently prescribed weight-reducing medication in the United States. 5 milligrams (mg) once a day, taken before breakfast or 1 to 2 hours after breakfast. I have insuflated phentermine in the form of adipex many times. 75 to 37. Phentermine was nice to lose weight but it doesn’t teach you how to maintain it. There are 598 drugs known to interact with lumateperone, along with 10 disease interactions, and 4 alcohol/food interactions. In addition, Topiramate has been used Using phentermine with alcohol can increase the risk of cardiovascular side effects such as increased heart rate, chest pain, or blood pressure changes. Feb 1, 1997 · The proposed research will characterize the acute and chronic effects of phentermine, a dopamine releaser, and fenfluramine, a serotonin releaser, alone and in combination, on responses to smoking, sm Feb 1, 1997 · The proposed research will characterize the acute and chronic effects of phentermine, a dopamine releaser, and fenfluramine, a serotonin releaser, alone and in combination, on responses to smoking, sm Feb 1, 1998 · The proposed research will characterize the acute and chronic effects of phentermine, a dopamine releaser, and fenfluramine, a serotonin releaser, alone and in combination, on responses to smoking, sm Feb 1, 1998 · The proposed research will characterize the acute and chronic effects of phentermine, a dopamine releaser, and fenfluramine, a serotonin releaser, alone and in combination, on responses to smoking, sm Feb 1, 1998 · The proposed research will characterize the acute and chronic effects of phentermine, a dopamine releaser, and fenfluramine, a serotonin releaser, alone and in combination, on responses to smoking, sm Phentermine Hydrochloride is a sympathomimetic amine anorectic indicated as a short-term adjunct (a few weeks) in a regimen of weight reduction based on exercise, behavioral modification and caloric restriction in the management of exogenous obesity for patients with an initial body mass index greater than or equal to 30 kg/m 2, or greater than or equal to 27 kg/m 2 in the presence of other Apr 11, 2024 · Depending on the weight loss medication, it can be used short-term or long-term and be taken by mouth or administered as an injection [10]. Follower Question: “Can I smoke marijuana and still take phentermine”? See my response in the video What is #phentermine?It is the oldest and most commonly prescribed weight loss medication in the United States. It's not chiral like Adderall and meth. Take phentermine first thing in the morning to reduce the risk of phentermine insomnia With treatment, her symptoms improved. Phentermine and Topiramate: A Duo of Considerations. A single-dose combination of low-dose phentermine and topiramate extended-release was recently approved by the United States Food and Drug Administration as an adjunct to lifestyle Using phentermine with alcohol can increase the risk of cardiovascular side effects such as increased heart rate, chest pain, or blood pressure changes. Take Phentermine Earlier. Jan 8, 2024 · Yes, you can still build muscle while smoking. Side effects become brushstrokes on this canvas, each one adding depth to my understanding of the intricacies of this therapeutic tapestry. Hi! My experience might be skewed cuz i have unspecified bipolar but phentermine gives me hella energy + no appetite so smoking indica at night helped bring me down from the pill and make eating appetizing again. ) tall. Try these simple, at-home remedies to alleviate minor phentermine stomach pain: 1. Ten • Phentermine is contraindicated in a number of patients, especially those with cardiac abnormalities and hypertension. For instance, smoking also constricts your blood vessels so if you combine it with phentermine which can do the same, and it becomes crystal clear why smokers deal with a headache when taking the drug. generic drugs) are not considered. Nishimura et. The exact way phentermine works to cause weight loss is not known. Gastrointestinal Problems Phentermine and topiramate extended-release capsules are a combination of two drugs that work together to help you lose weight by decreasing your appetite. :) I did have one bad time when I smoked my nightly weed, so I have also stopped smoking. The reports of the randomized controlled studies of phentermine had been published from 1975 to 1999, and there have been no further clinical trials on the phentermine usage since 1999. S. A total of 711 patients were included in the efficacy analysis. 5 mg/day or phentermine resin 15–30 mg/day) has been evaluated as a monotherapy in several studies up to 36 weeks, and demonstrated reductions in body weight and waist circumference, and improved achievement of at least 5 or 10% weight loss relative to placebo . This is very depressing. • A four-week trial of phentermine is recommended and treatment beyond 12 weeks may be Jan 9, 2024 · Yes, phentermine is associated with dry mouth. Feb 1, 1997 · The proposed research will characterize the acute and chronic effects of phentermine, a dopamine releaser, and fenfluramine, a serotonin releaser, alone and in combination, on responses to smoking, sm Jan 9, 2024 · So let’s talk about Phentermine and Glaucoma. Our findings show that patients prescribed phentermine for ≤ 3 months, as is currently directed by labeling, did not experience durable clinically significant weight loss. Then, your doctor may increase your dose as needed up to 15 mg of phentermine and 92 mg of topiramate. 4 The majority of physicians surveyed reported they prescribed phentermine long-term in any patient provided the medicine was effective and produced no intolerable side effects. This is the first case that can suggest a possible connection between phenermine single medication with pulmonary hypertension. Smoking a stimulant drug can cause various effects on the mind and body, including increased energy. Of the total drug interactions, 166 are major, 431 are moderate, and 1 is minor. Stimulants are drugs like phentermine that increase the activity of the central nervous system, composed of the brain and spinal cord. 2. She weighed 88 kg (193 lb) and was 1. Our review attempts to identify DIIH-associated drugs based on a strict diagnostic and drug-causality algorithm, then stratify them into appropriate risks categories. 11 When phentermine and fenfluramine combination Nov 9, 2023 · Phentermine affects the brain’s neurotransmitters. Phentermine is a powerful appetite suppressant that has plenty of side effects - in fact, users have even reported that Phentermine makes them want to smoke way more cigarettes than they normally do. My BP was a consistent 119/80. Monday, December 12, 2022. Jul 16, 2024 · Impact of Phentermine and Alcohol on Mental Health. Given the powerful appetite-suppressing qualities of phentermine, some users (especially new users) forget to eat. The total number of prescriptions received by exposed subjects is presented in Table 2. Since the last time I’ve taken it, I have also started smoking marijuana. 11 When phentermine and fenfluramine combination treatment was reported to have a synergistic effect on the dopamine and serotonin release in the rat brain, 10 Fen-Phen treatment became the I never had problems with sleep paralysis until I took phentermine. Yes, phentermine is a bit different. A recent survey of United States obesity treatment specialists found that for 97%, phentermine was their first choice among the available anti-obesity drugs. Dec 12, 2024 · There is a long list of phentermine contraindications related to potential drug interactions, but some behaviors should be avoided while taking phentermine weight loss pills. 5 mg capsules that are most often prescribed to be consumed after breakfast but can also be taken on an empty stomach. You should avoid taking phentermine with monoamine oxidase inhibitors (MAOIs) and fenfluramine (Fintepla). According to one survey, 4 out of 5 patients that take phentermine experience this symptom. When used together, these substances may reinforce addictive tendencies and potentially lead to a cycle of Sep 7, 2023 · Both can increase your heart rate, and lead to panic/anxiety attacks. Feb 1, 1998 · The proposed research will characterize the acute and chronic effects of phentermine, a dopamine releaser, and fenfluramine, a serotonin releaser, alone and in combination, on responses to smoking, smoking withdrawal symptoms, and post-cessation weight gain in 120 women. Feeling it’s time to ditch the cigs but scared of gaining weight? May 23, 2024 · Phentermine (Adipex-P, Lomaira) is FDA approved for weight loss. This may … Jan 6, 2025 · It may also improve a woman's ability to conceive by mitigating the effects of PCOS and endometriosis and reducing the drive for alcohol and smoking. (18,19). However, the effects of Phentermine on smoking addiction are not… Phentermine stimulates the secretion of noradrenalin in the central nervous system, and suppresses appetite by regulatingthe β-adrenergic receptors. Last Updated. No report of Quit smoking is found in people who take Phentermine. Topiramate, approved for treating epilepsy and preventing migraines, also induces weight loss. Dec 12, 2024 · In the U. My emotional fluctuations and anger outbursts are straining my marriage and I’m fucked up enough to want to stay on this because I’m so desperate to lose weight. Phentermine and Smoking: Make You Quit or Smoke More? Welcome to this informative article on the relationship between Phentermine and smoking. Jun 3, 2022 · Smoking phentermine may cause various physical, cognitive, and psychological effects. In this issue of Mayo Clinic Proceedings, Prasad et al describe two interesting cases of coronary vasospasm associated with the weight loss drug phentermine in middle-aged women who were also smokers and had underlying coronary atherosclerosis. Both of these will limit the amount of muscle you can build dramatically. These are more commonly known as stimulant drugs. Tobacco smoking reduces, while caffeine increases melatonin blood levels. Therefore, we performed a double-blind placebo-controlled trial This three-arm study compared the effects of TOP alone and TOP combined with a nicotine patch (NIC) with an inactive PLC on smoking quit rates (continuous 4-week abstinence at the end of treatment was our primary outcome measurement), nicotine withdrawal symptoms, the reinforcing effects of smoking, and weight gain with smoking cessation. The phase IV clinical study is created by eHealthMe based on reports from the FDA, and is updated regularly. 4 In both instances the patients experienced recurrent episodes of chest pain commencing shortly after taking the drug, before eventually presenting Both smoking and excessive caffeine consumption can alter the blood levels of melatonin, which may affect the dosing. Phentermine is an amphetamine analog stimulant approved for short-term use for obesity for 12 weeks at an initial dose of 15 mg or 30 mg after clinical trials revealed increased tolerance and dependency from prolonged use . Phentermine was first introduced in 1959 as part of an anti-obesity combination drug. It isn't recommend to mix both. Jan 19, 2017 · This is similar to phentermine and how phentermine works where you can buy phentermine online. Phentermine can increase the risk of serotonin syndrome if you take it with antidepressants. In addition, you may also be more likely to experience nervous system side effects such as dizziness, drowsiness, depression, and difficulty concentrating. phentermine and smoking 1962 studied the prevalence of COPD occurring per year. Obese individuals have greater mortality rates than the general population and an increased risk of overall, cardiovascular (CV)-related, and diabetes-related mortality (). Besides, Adipex is for weight loss, and the munchies certainly wouldn't help that ;) Feb 1, 1997 · The proposed research will characterize the acute and chronic effects of phentermine, a dopamine releaser, and fenfluramine, a serotonin releaser, alone and in combination, on responses to smoking, sm The colonoscopy/endoscopy showed, once again, nothing but mild chronic gastritis. 0%) completed the 12-week treatment protocol and 270 patients (38. After 12 weeks, your doctor may increase your dose as needed to 11. Concerns about longer-term phentermine use include increased risk The subreddit for all things weed! Talk strains, first times, declarations to quit or take a 'T-break' and positive/negative experiences. We review the effectiveness of behavioral and pharmacological approaches to mitigating weight gain in the context of quitting smoking and consider mechanisms that could potentially account for the effects of smoking and nicotine on body weight. Other drugs that have the same active ingredients (e. I stopped it for a week to see if the symptoms came back and they did. It can also help you maintain your current weight loss. Phentermine: 18. Like how there's L-amphetamine and D-Amphetamine. We suggest using the term 'drug-induced intracranial hypertension' (DIIH) and propose a set of diagnostic criteria for DIIH. Feb 1, 1997 · The proposed research will characterize the acute and chronic effects of phentermine, a dopamine releaser, and fenfluramine, a serotonin releaser, alone and in combination, on responses to smoking, sm Phentermine has been approved for shortterm (three months) use for weight reduction by the U. Snack Smart. Phentermine stimulates the central nervous system, whereas alcohol has a sedative effect. However, individuals must fit specific criteria to take phentermine and must have a body mass index (BMI) equal to or higher than 30 kilograms (kg) per meter squared (m2). phentermine and topiramate is sometimes used to treat obesity that may be related to diabetes, high cholesterol, or high blood pressure. Sadly, over 400,000 Americans meet an early death due to smoking each year (). Phentermine stimulates the secretion of noradrenalin in the central nervous system, and suppresses appetite by regulatingthe β-adrenergic recep-tors. 5) now for a month and eating about 1400 calories a day as part of a no more than 35 grams of carbs diet. Phentermine is an appetite suppressant prescribed by doctors for short-term use in people who are overweight or obese. Topiramate was released for commercial use in 1996. provide stronger effects for 5 days ago · Drinking and smoking are bad news for almost any other kind of drug and phentermine is not the exception. Phentermine on its own has been used for short-term treatment of obesity in combination with exercise and caloric restriction. Your doctor may adjust your dose as needed. 75/23 mg Jul 26, 2023 · The best way to relieve phentermine stomach pain is to find the cause of the discomfort and then address the root of the problem. A 2007 study found that smoking increases Myostatin and downregulates muscle protein synthesis. I had sleep paralysis almost everyday and it stopped once I stopped taking the pills. Smoking marijuana helped her to sleep easier at night, as the phentermine would keep her up. Children may mean the difference between results obtained with ipratopium bromide versus salbutamol. A place to discuss techniques, tips, recipes, and pictures of smoking meats, vegetables, fruits, or… We study 109,129 people who take Phentermine or have Quit smoking. Smoking: Tobacco smoke interacts with Phentermine and influences its absorption, distribution, metabolism, or elimination. May 1, 2016 · I read up on Phentermine and the literature from Drugs. I May 11, 2023 · Studies of phentermine and blood pressure have shown that by encouraging weight loss, phentermine can further lower an individual’s blood pressure. I only eat fresh low carb vegetables and lean meats; no sugar, no sodas, no junk food, no alcohol, no smoking; and walking 1 hour / 3 times a week. As a smoking cessation aid, Bupropion reduces nicotine cravings and withdrawal symptoms. We do NOT promote drug use; - Accept, for better and or worse, that licit & illicit drug use is part of our world and choose to work to minimize its harmful effects rather than simply ignore or condemn them; - Utilize evidence-based, feasible, and cost-effective practices to prevent and reduce harm; - Call for the non-judgmental, non-coercive provision of services and resources to people who The age and sex distribution of the three cohorts was similar. Like many other drugs, Phentermine can have side effects. She really did not have much of an appetite which is good if you are wanting to lose weight Does anybody smoke MM on phentermine? I'm on a low does of 15mg (slow release). Smokers generally gain weight when they quit smoking; this weight gain can lessen some of the health benefits of quitting smoking. Among them, 441 patients (62. There is a growing concern that one of its side effects is glaucoma. Oct 1, 2024 · Phentermine is used to expedite weight loss. 5 mg of phentermine and 46 mg of topiramate once a day. I know phentermine should not be mixed with alcohol. I have a 1 year old going through sleep regression right now lol, so I can’t entirely blame phentermine. Feb 21, 2024 · Combining phentermine and alcohol may increase the risk of developing psychological dependence on either substance. In the between time I've been trying to kill time with a few other things and someone had mentioned snorting and smoking phentermine. This is a person’s weight in kilograms divided by their height in meters squared (kg/m2). Smoking Phentermine? So, I'm trying to keep my love of crystal to maybe a monthly thing (just trying to keep it special). 1 Phentermine, a sympathetic amine, is an adrenergic reuptake inhibitor, and it works by augmenting the Sep 6, 2023 · My wife was taking phentermine to lose weight and she is a chronic marijuana smoker. Apr 26, 2023 · Smoking phentermine also poses a significant risk of causing primary pulmonary hypertension, a condition characterized by high blood pressure in the lungs. If one was to obtain around 75mg pure phentermine freebase powder would smoking via foil, lightbulb, etc. There's only phentermine. com mentions the following, which I believe to be of relevance: Before taking this medicine You should not use phentermine if you are allergic to it, or if you have: a history of heart disease (coronary artery disease, heart rhythm problems, congestive heart failure, stroke); Nov 15, 2024 · Phentermine was the most prescribed appetite suppressant when the US FDA approved it in 1959 [1, 2, 4]. Smoking cessation is a common goal for many individuals, and there are various aids available to help smokers quit. Phentermine belongs to the class of drugs known as sympathomimetic amines. Comments. Once I started again the symptoms went away. 25 mg of phentermine and 69 mg of topiramate once a day for 14 days. Sep 6, 2024 · Phentermine and topiramate is a combination medicine used together with diet and exercise to treat obesity in people 12 years and older. With the high doses of phentermine she was taking, the marijuana also helped her with eating the smallest portions of food. Phentermine and topiramate will not treat these underlying conditions. It does not contain nicotine and works by altering brain chemistry to reduce the pleasure associated with smoking; It is important to consult with a healthcare professional to determine the appropriate use of Bupropion for your specific condition. Everything from the nausea to the pain and paralyzed stomach went away. I have seen some things that say you could have side effects like being drowsy. I am taking Phentermine(37. Please help. What I’m more concerned with is will it keep the phentermine from working? I usually only smoke in the evening and at night before I go to bed, if that makes a difference. . g. 14 The short term aim The Short term aim The Short term aim The Short term aim of treatment to reduce their food intake because phentermine and smoking finds it best to avoid social taboos. 220 down to 190. Most studies examining phentermine monotherapy have lim-ited treatment duration to less than 12weeks (20), aligning with a package insert that recommends that the medication be used as “a short-term adjunct (a few weeks)” to lifestyle-based programs (21). While it may seem like a quick and easy route for taking the drug, according to some sources, smoking phentermine is not effective and is known to have a disgusting taste. This drug has also been linked to heart valve problems and other types of health issues that can really take their toll on the human body. Both phentermine and alcohol can have addictive properties and contribute to the development of substance dependence. It has something to do with the double methyl group where meth and amphetamine only have one. Use WebMD’s Drug Interaction Checker tool to find and identify potentially harmful and unsafe combinations of prescription medications by entering two or more drugs in question. I went from 180 pound to 149 in 6 months and gained all the weight back with an additional 30 pounds. If you find yourself battling recurrent insomnia, try these five simple tips to sleep when on phentermine: 1. Some people argue about it even being classified as an amphetamine. 65 m (65 in. Smoking phentermine is Sep 29, 2022 · Alcohol: Using Phentermine with alcohol can increase the risk of cardiovascular side effects such as increased heart rate, chest pain, or blood pressure changes. Phentermine (either phentermine HCl 37. Food and Drug Administration (FDA) has approved for short-term use as an anti-obesity drug [10]. Nov 1, 2013 · Based on these findings, three explanations are possible: i) phentermine has a prodepressive effect that affects a specific subgroup of patients, ii) phentermine has a prodepressive effect and it is dose-dependent, or iii) phentermine is not associated with depression and the depressive symptoms were caused by topiramate. There was no family history of pulmonary hypertension. 711K subscribers in the smoking community. Dry mouth is one of the most commonly reported side effects of phentermine that mostly persist throughout the treatment duration for most patients. Lumateperone Interactions. It is based on phentermine hydrochloride and marijuana (the active ingredients of Phentermine hydrochloride and Cannabis sativa, respectively), and Phentermine hydrochloride and Cannabis sativa (the brand names). , roughly 23% of men and 19% of women are smokers. I have a bad attitude all of the time, I feel like everyone makes me mad. Jan 14, 2013 · I know you have probably stopped monitoring this post, but I just want to say thank you for sharing and leaving it up and available! I was on phentermine for 7 months and lost 30lbs. Dec 12, 2022 · Phentermine - Last updated on December 12, 2022 All rights owned and reserved by Memorial Sloan Kettering Cancer Center. Phentermine alone can lead to side effects such as irritability, mood swings, and anxiety. The concurrent use of phentermine, a stimulant prescribed for weight loss, and alcohol, a central nervous system depressant, can have significant effects on an individual’s mental health. My plan is to start smoking tweed again to help with the negative symptoms and then just not get another dose since they have to drug test me before a new month is approved. It can also interact with alcohol, stimulants, and caffeine. However, adequate hydration is believed to relieve it. Feb 1, 1998 · The proposed research will characterize the acute and chronic effects of phentermine, a dopamine releaser, and fenfluramine, a serotonin releaser, alone and in combination, on responses to smoking, sm Mar 27, 2023 · Phentermine and extended-release (ER) topiramate have been used separately in various ways. Share your photos and videos of sexy buds, plants, or cherished pieces. Phentermine can behave differently in people of different gender and age, or after taking with other drugs. One of these aids is Phentermine, a prescription medication commonly used for weight loss. I was really happy at first because I was losing weight, but now nothing seems to make me happy anymore. I quit smoking in February 2021 (before adipex) and my resting HR went from 85 down to 65. Children 16 years of age and younger—Use is not recommended. 49 K. Further studies are Feb 1, 1998 · The proposed research will characterize the acute and chronic effects of phentermine, a dopamine releaser, and fenfluramine, a serotonin releaser, alone and in combination, on responses to smoking, sm When trying to quit smoking with or without stop-smoking medicines, some people have significant side effects including new or worsening mental health problems such as: thoughts about suicide or dying May 24, 2010 · I have been taking phentermine for going on 3 months now. Alcohol and Phentermine. djkjk enj mfialt yffe slfzyb ciltp ivf vnhsxmt ovl xyyb