Qsymia contains two medications (phentermine and topiramate) that each work differently to promote weight loss: Phentermine (Adipex-P, Lomaira) should be familiar to you now as a stimulant medication, which also affects how your brain controls your appetite
These medications stop glucagon from being released by alpha cells, which helps prevent the liver from producing too much glucose
The NHS recommends 6-8 drinks per day (approximately 1.2-1.5 litres), with more in hot weather or during exercise
& Alafuzoff, I

Supplement Facts: Serving Size: 2 Capsules Servings Per Container: 50 Amount Per Serving: Vitamin B1 (Thiamin): 0.5 mg Vitamin B2 (Riboflavin): 0.34 mg Niacin: 2.4 mg Vitamin B6: 0.4 mg Vitamin B12: 3 mcg Choline bitartrate: 250 mg Anhydrous caffeine: 200 mg Green Coffee Extract (standardized to 45% chlorogenic acids): 200 mg Alpha Lipoic Acid: 200 mg L-Tyrosine: 100 mg Cordyceps mushroom extract: 100 mg Dragon fruit (pitaya): 50 mg Jujube extract (Ziziphus jujube): 50 mg Aframomum melegueta extract: 20 mg Black pepper extract (standardized to 95% piperine): 5.3 mg *RI - Reference Intake Ingredients: Choline bitartrate, vegetable capsule (hydroxypropyl methylcellulose E464, thickener [carrageenan E407], dye [titanium dioxide E171], acidity regulator [potassium chloride E508]), anhydrous caffeine, alpha lipoic acid, green coffee extract (cane coffee, seeds), L-tyrosine, Cordyceps mushroom powder (Cordyceps sinensis, fruiting bodies) (oats), stabilizer (cellulose E460), anti-caking agents (magnesium salts of fatty acids E470b, silicon dioxide E551), jujube extract (jujuba ziziphus, fruit), powdered dragon fruit (Hylocereus undulatus, fruit), paradise seed extract (Aframomum melegueta, seeds), black pepper extract (Piper nigrum, fruit), niacinamide, thiamine hydrochloride, pyridoxine hydrochloride, riboflavin, cyanocobalamin

Rogers, and Steven M