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Who shouldnt take topiramate for weight loss
The frequency and extent of monitoring should be individualized based on patient-specific factors and the clinical indication for treatment
going 10 days on what should be a 7-day pen) or forgo other expenses to pay out-of-pocket
Why is this the case
Endothelial edema precedes blood-brain barrier breakdown in early time points after experimental focal cerebral ischemia
Baseline: CBC, B12, folate, iron studies Repeat B12 levels 1 month after loading dose Annual checks for chronic therapy Monitor potassium during initial treatment Neurological exams for neuropathic symptoms B12 injections can "mask" megaloblastic anemia from folate deficiency while allowing neurological damage to progress
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