Started phentermine after trying invonkana,
and trulicity to bring my a1c down. Mid January 2017 I started the
phentermine. Towards the end of February 2017 I had ketones in my urine and was in ketosis. I was excercisin religiously and watching my carb intake.i was eating between 100 to 150gms of carbs. I was not on a ketogenic diet. After that visit i have been extremely ill. Nausea, vomiting, diarrhea. blood sugar dropping rapidly when after exercise.