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Symptoms include: Rapid breathing Extreme fatigue Loss of appetite Irregular heartbeat Your doctor will likely want to perform regular blood work to check your bicarbonate levels if you are taking both medications

However, it is important to consult with a physician prior to use if pregnant, nursing, taking medication, or having a medical condition

It is not yet clear how much of the effect comes from the medication itself versus changes in appetite, food intake, weight loss, or digestion