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Persistent nausea, dizziness, fatigue, or slowed progress may indicate that your dose should be modified

During this session, the clinics medical professionals take the time to understand each patients unique needs, goals, and health history

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No 24/7 availability, but responses within business hours were prompt and polite

Metabolic issues: Feeling constantly cold, chills, or a low body temperature (signs of metabolic acidosis) Severe gastrointestinal changes: Persistent diarrhea, vomiting, or a total loss of appetite Systemic changes: Unexplained tiredness, a fever or other signs of infection, unusual bleeding, bruising, or long-term concerns like osteoporosis In general, higher doses of topiramate are associated with an increased risk of adverse reactions