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Little is known about the mechanism by which topiramate aids in weight loss

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Both GLP-1RAs and DPP-4i have proven to be effective in restoring overall glycemic control, lowering HbA1c and lipid levels, amongst other benefits

Temporary Dose Reduction If nausea becomes unmanageable at a particular dose level, temporary reduction rather than discontinuation often allows you to continue treatment

Patients typically report feeling satisfied with smaller portions and experiencing less frequent hunger between meals

However, these are major surgeries and require thorough evaluation and lifelong commitment to lifestyle changes