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Gut microbiota Largely unknown long-term effects we are changing diet quantity more than quality The paradox Are we treating disease or pharmacologically compensating for a toxic food environment

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This allows us to support sustainable fat loss, improved metabolic health, and appetite regulation while minimizing common side effects such as nausea, fatigue, and GI discomfort

Due to both this potential interaction and topiramate's teratogenic risk, highly effective contraception is required for women of childbearing potential taking topiramate