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Consider discontinuation of TOPAMAX (5.2) Oligohidrosis and hyperthermia: Monitor decreased sweating and increased body temperature, especially in pediatric patients (5.3) Metabolic acidosis: Baseline and periodic measurement of serum bicarbonate is recommended

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If you have been diagnosed with B12 deficiency, are taking metformin, or have recently been told your HbA1c result is unexpectedly low or inconsistent with your symptoms, it is worth raising this with your GP

It works by stopping melanin production