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Labs should be performed in the morning and after fasting for at least 8 hours

Part of this is physiological, better blood sugar stability means fewer energy crashes and less brain fog

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It is important to understand the injection technique, rotation of injection sites, safe storage requirements, and the weekly dose escalation schedule

WARNING Before using topiramate, tell your health care provider about your medical history, especially if you have: narrow angle glaucoma and nearsightedness kidney problems, such as kidney stones liver problems depression or thoughts of suicide lung or breathing problems metabolic acidosis high blood ammonia levels long-term diarrhea low body temperature a diet high in fat and low in carbohydrates, aka a ketogenic diet brittle bones Topiramate may cause some people to sweat less