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Although topical administration of ketamine may prolong the analgesic effect, chronic and frequent high-dose exposure to ketamine may cause urinary damage, characterized by degeneration of neuromuscular junctions and/or proprioceptive sensory fibers

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After 10-20 minutes, remove the sheet and gently pat any remaining essence into the skin

Many over-the-counter (OTC) diet pills contain stimulants like caffeine, green tea extract, or yohimbine, which can have additive effects similar to phentermine because they may increase the risk of high blood pressure, rapid heart rate, anxiety, and other side effects