Orlistat and cyclosporine should not be simultaneously co-administered Patients should be strongly encouraged to take a multivitamin supplement that contains fat-soluble vitamins to ensure adequate nutrition because Orlistat has been shown to reduce the absorption of some fat-soluble vitamins and beta-carotene Rare cases of severe liver injury with hepatocellular necrosis or acute hepatic failure have been reported, with some of these cases resulting in liver transplant or death Patients may develop increased levels of urinary oxalate following treatment with Orlistat
This means itchy skin is not a recognized hallmark reaction to the medication itself
That includes protein (found in poultry, fish, eggs , and tofu), healthy fats (such as olive oil), B vitamins (found in fish, poultry, meat, eggs, dairy, beans, and peas), vitamin D (in salmon and fortified dairy and plant-based dairy), and minerals like iron (found in beans, lentils, spinach, tofu, and dark chocolate)
If appetite suppression and weight loss continue at a satisfactory rate, the dose is adequate regardless of what the injectable equivalent might be