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Fatigue with Other Symptoms If you notice other symptoms alongside fatigue, such as rapid weight loss, feeling disoriented, or confusion, it is wise to seek immediate medical attention

Nail infections may cause thick, yellow, or crumbly nails

Some other side effects my patients have experienced are flatulence (farts) burping, or bloating, which is the feeling of the stomach being overfull from eating too much

doi:10.1016/j.molmet.2016.04.007 171

Obesity-specific trials (the SURMOUNT program)