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Brigham MD, Milgroom A, Lenco MO, Tudor T, Kent JD, LaMoreaux B, Johnson RJ, Mandell BF, Hadker N, Francis K, Sanchez H, Radeck LP, Li JW

PMID 15601438

Phentermine is contraindicated for individuals with a history of illicit drug use or substance abuse

However, the relationship between lactic acid levels and ME/CFS is still being investigated, as another study reported reduced lactic acid levels in urine, along with lower pyruvate and alanine (187)