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Acosta, Andres MD, PhD2

Many prescription weight loss medications cause gastrointestinal issues (nausea, diarrhea, constipation), or some rare but serious effects (pancreatitis, gallstones) may occur

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Borrell-Pags M, Canals JM, Cordelires FP, Parker JA, Pineda JR, Grange G, Bryson EA, Guillermier M, Hirsch E, Hantraye P, et al

Major causes include endocrinopathies, heat stress, chronic diseases like diabetes and hypertension, genetic and immunological disorders, testicular pathologies, obstructive reproductive tract disorders and genitourinary tract infections, environmental factors such as alcohol consumption, cigarette smoking, exposure to heavy metals and environmental pollutants, drug abuse, ageing, and iatrogenic and idiopathic causes

Here is the drawing protocol: Clean the vial stopper with alcohol