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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

This patient approach aligns with creating sustainable, long-term results, ensuring that as you reach your goal weight, your skin has had the best possible chance to adapt along with you for a smoother final outcome

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Yes, your healthcare provider may prescribe medications to help manage vertigo if it becomes bothersome