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It works by decreasing appetite. It usually is taken as a single daily dose in the morning or three times a day 30 minutes before meals. Do not take a larger dose, take it more often, or take it for a longer period than your doctor tells you to. If you are taking the extended-release long-acting tablets, do not split, chew, or crush them tablet. There are some tablets that can be crushed and mixed with food.

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Therapeutic, effective treatment of obesity requires a substantial and long-term at least one year reduction in body weight. In a number of short-term studies with relatively few patients, weight loss has been has been noted.

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