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Options may include phentermine-topiramate, a combination medication that suppresses appetite, as well as medications originally approved for other conditions, such as the antidepressant bupropion (Wellbutrin) or the diabetes drug metformin

"In those situations, electrolyte-containing beverages or supplements may be helpful, particularly for people who exercise heavily or have very low calorie intake." That doesn't mean everyone needs electrolyte supplements

Aquac Res 52:10461062 Du ZY, Ma T, Liaset B, Keenan AH, Araujo P, Lock EJ, Madsen L (2013) Dietary eicosapentaenoic acid supplementation accentuates hepatic triglyceride accumulation in mice with impaired fatty acid oxidation capacity

Inoue T, Watanabe T, Tanaka Y