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Suicidal thoughts or behaviors Serotonin syndrome: fast heart rate, dizziness, sweating, flushing, tremor (shakiness), muscle stiffness, muscle twitching or spasms, uncoordinated movement, distress, seizures, distress, hallucinations, coma Seizures Allergic reactions: hives, rash, blisters, swelling of the lips or tongue, difficulty breathing Abnormal heart rhythm (QT prolongation): chest pounding, short of breath, chest pain, feeling faint or lightheaded Severe bleeding: bruising that doesnt improve, black-colored stools, pink or red-colored urine, coughing up or vomiting blood, or unusual bleeding from the nose or gums Low blood sodium levels: nausea, fatigue, headache, confusion, disoriented, hallucinations (seeing things that arent real), seizures, unconsciousness Effects of other drugs, drug classes and over-the-counter products on Prozac The following medications may interact with Prozac: Monoamine Oxidase Inhibitors (MAOIs) Drugs Metabolized by CYP2D6: Fluoxetine is a potent inhibitor of CYP2D6 enzyme pathway

Diabetes Nutr Metab 17:336342 Yasuda N, Inoue T, Nagakura T et al (2002) Enhanced secretion of glucagon-like peptide 1 by biguanide compounds

It calls itself an anti-diet, though some feel it promotes toxic aspects of diet culture

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One study recently found that 45% of people globally are trying to lose weight