Brief Answer:
Phentermine is the cause to constipation;should think to stop it as follows

Detailed Answer:
Hi XXXX,

I have gone through your medical history carefully and understood your concern.

Before we fight constipation, we do go deeper to identify what causes it.
In your case, phentermine is the identified CAUSE.

The treatment is in 2 major ways:
- treating the main cause: in your case stop using Phentermine
- easing the constipation problems (all the things you have tried so far)

So, at this point, you have tried everything to ease constipation problems, now, you should think over stopping Phentermine. Can report this side effect to the doctor who prescribed it. Once you remove the causative agent, your bowel movement will get back to normal again (although this will require a few days).

Hope it was of help!
Dr.Albana

---

Brief Answer:
We should identify the main cause to being hungry first...

Detailed Answer:
Hi back my dear,

If you have such problem then, we should get a solution. That is multiple approach.

1. First, should exclude endocrine problems such as those related to thyroid through thyroid function test.

2. Then, hypoglycemia to exclude through fasting blood glucose test, and pancreas function test.

3. A good physical examination is required to rule out stomach hyperacidity problems like gastritis or reflux.

4. Vitamins deficiency to evaluate through measuring blood vitamins and minerals

After we exclude all these problems, the next step is to help you controlling appetite. Still need multiple approach like:
- designing a diet menu specifically for your daily needs
- thinking over a specific losing weight program with you being more involved in physical activity. Try daily walking and running at first.
- increase water consumption, try to drink water as much as you can: 1glass before eating, 2 glasses while you eat and 1 glass after you finish eating. At the end of the month you should drink up to 25 glasses per day to succeed.

Hope it helps.

---