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People taking this medicine should follow a low-fat diet, or they will experience uncomfortable gastrointestinal side effects from undigested fat in stools. Doses start at 0. Explore now. Am Fam Physician. The FDA also warned of hidden ingredients in the company’s supplement, including sibutramine, which can increase blood pressure, and phenolphthalein, which can cause cancer. Rochester, Minn. Use this guide to sort through the facts to find the best product for you.