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Phentermine is passed trough the body 80% unchanged in the urine, therefore it has no major effects on the liver. There's no proof so far that this drug should be contraindicated in patients with liver disorders.
The early signs of liver damage are nausea, vomiting, abdominal pain, unusual fatigue, loss of appetite, yellow skin or eyes, itching, dark urine, or clay colored stools. These symptoms may be something else but, if you have them, you should notify your doctor immediately.
To settle your mind, you could have your liver tested. A liver function test is a blood test that can detect several kinds of liver damage. There are two types of the test. One test indicates the enzyme levels of the liver. The other is used to assess whether the blood clots properly.
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