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A person who becomes pregnant unexpectedly while taking one of these drugs should contact their healthcare provider, who can help them transition off the medication and make sure they are receiving proper maternal care.

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Dinan TG, Clarke G, Quigley EM, Scott LV, Shanahan F, Cryan J, et al

Topiramate is typically taken as an oral tablet or capsule

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Why Postpartum Weight Loss Becomes Harder After Pregnancy Pregnancy causes substantial metabolic and hormonal shifts: insulin sensitivity decreases, appetite-regulating hormones like leptin and ghrelin fluctuate, and the hypothalamic pathways that control energy balance adapt to support fetal growth
