Decreased appetite and increased energy can be helpful to people who need it. Other times, these effects are not helpful when there is an underlying psychological problem such as anorexia or bulimia. Even if the consumer does not exhibit symptoms of this type of disorder, decreased appetite and skipping meals can cause binge eating. This unhealthy practice can lead to purging which can cause psychological stress along with other diseases of the teeth and throat. Excessive dry mouth, another side effect of the pills, can cause an increase in bacteria in the mouth, which can cause tooth decay. (Mayo Clinic, 2012) This malnutrition causes damage to other organs that “may not be completely reversible, even when anorexia is under control.” (Mayo Clinic,