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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Can Cause Fatigue Upon Walking And Breathing Difficulty While On Phentermine?

Hi. I m 35 year old male i weigh 498 pounds. I currently an in phentermine. I am experiencing sudden fatigue with walking i did not have before. Trouble breathing especially when I have to lay on my side to sleep at night . Now the newest thing is stomach was feeling hard last few days . I can poop , but my stomach is soft and big but at the bottom around the bottom and underneath right in the middle and to the right side it s hard
Tue, 11 Sep 2018
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General & Family Physician 's  Response
Hi,

I'm sorry to hear you've been having some problems with your health while on phentermine. Phentermine has many side effects, such as increased blood pressure, trouble sleeping, dry mouth, constipation, and nervousness.

From my experience and what I've read, phentermine should not cause fatigue or shortness of breath.

You may want to see your doctor about these new symptoms, he/she may want to check out your heart because sometimes patients with a lot of extra weight can have problems with breathing when they are asleep. (called obesity hypoventilation syndrome).

This eventually damages the heart (causing pulmonary hypertension).

As for the stomach problems, I'm not sure what could be causing that, except that constipation is a known side effect of phentermine, and what you are feeling could be that your intestines are full of stool.

I would try taking a laxative or stool softener like docusate or Bisacodyl to see if that helps.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr Aaron Branch, General & Family Physician
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What Can Cause Fatigue Upon Walking And Breathing Difficulty While On Phentermine?

Hi, I m sorry to hear you ve been having some problems with your health while on phentermine. Phentermine has many side effects, such as increased blood pressure, trouble sleeping, dry mouth, constipation, and nervousness. From my experience and what I ve read, phentermine should not cause fatigue or shortness of breath. You may want to see your doctor about these new symptoms, he/she may want to check out your heart because sometimes patients with a lot of extra weight can have problems with breathing when they are asleep. (called obesity hypoventilation syndrome). This eventually damages the heart (causing pulmonary hypertension). As for the stomach problems, I m not sure what could be causing that, except that constipation is a known side effect of phentermine, and what you are feeling could be that your intestines are full of stool. I would try taking a laxative or stool softener like docusate or Bisacodyl to see if that helps. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Aaron Branch, General & Family Physician