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Unexplained fatigue or weakness: While some fatigue is expected during weight loss, severe or progressive weakness, especially if accompanied by other symptoms, should be evaluated to rule out electrolyte imbalances, thyroid dysfunction, or other medical conditions

They may recommend adjusting the dosage or trying an alternative medication

one death has been reported in a patient who received sildenafil in combination with ritonavir and Fortovase

L-Carnitine is another common additive used to support metabolic health, and while it is usually clear, it can sometimes be part of a complex mixture that alters the appearance slightly