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Description
Although topiramates pharmacodynamic profile overlaps with older carbonic-anhydrase inhibitors such as acetazolamide, it differs by exhibiting negligible effects on systemic pH at doses below 100 mg per day

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Discuss at your next appointment if: you have reached week 8 with zero noticeable appetite or weight changes at your current dose, side effects are manageable but annoying and not improving, you are considering adjusting your dose escalation timeline, you want to explore combination approaches, or you are experiencing insomnia , menstrual changes , feeling unusually cold , or hormonal changes that you suspect are related to the medication

Our patients love that they can see us for not only Semaglutide or Tirzepatide, but also any other medical concerns
