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Patients who develop symptoms of unexplained hyperammonemic encephalopathy while receiving valproate therapy should receive prompt treatment (including discontinuation of valproate therapy) and be evaluated for underlying urea cycle disorders (see Contraindications and Hyperammonemia and Encephalopathy Associated with Concomitant Topiramate Use as follows)

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May help improve energy levels

A: Results vary, but most customers lose 8-15 pounds in the first 8-12 weeks when combined with a healthy diet and regular activity