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Blood sugar levels, kidney function, and any signs of pancreatitis should be monitored
This is the effect that led to FDA approval
L-Cysteine and Vitamin E round out the formula by strengthening antioxidant defense and protecting against free radical damage
The lack of studies means dosing protocols are speculative, side effect profiles unknown, and risks potentially severe - particularly gastroparesis from combined extreme gastric slowing
It is also important to remember that Topiramate is not approved by the FDA for weight loss when used alone
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