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Do not use if the solution is cloudy or contains debris.

Contact your healthcare provider if you experience significant weight regain (more than 5% of lost weight), worsening blood glucose control, severe abdominal pain, or other concerning symptoms

This is independent of spironolactone but compounds its sleep-disrupting effects

If needed, your doctor may increase the dose to 300 mg once daily

Appetite suppression kicks in but hasnt yet dramatically altered your eating patterns