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Phentermine increases Serotonin and is likely the cause of the trouble climaxing. I found Phentermine to only work for about two months. In Ohio its only to be prescribed for three months. Some states is unlimited but the effects on weight are not unlimited. I found that stimulants like Methylphenidate which is close to Modafinil may have less effect on Serotonin. Vyvanse works well for weight as well but seems to have more sexual sides. Over the long term you may want to add l tyrosine with your choice stimulant to help maintain its effect. You need to check all other meds you take for increased Serotonin. That is where the trouble starts when you start stacking the Serotonin increasing drugs. There are a lot of them that increase Serotonin.