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Topiramate can cause cognitive effects difficulty with memory and concentration are commonly reported as well as mood changes, tingling in the extremities, and increased heart rate
Subcutaneous injections should be administered correctly, rotating injection sites to prevent lipohypertrophy (thickening of fatty tissue), which can impair drug absorption
Blood sugar, kidney function, and any signs of pancreatitis should be monitored
You want to set yourself up for sleep success by creating a comfortable space where its easy to relax and fall asleep
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