33f, DM 2, Been taking Metformin XR 500mg 2 pills x2 a day. 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.