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She lost 35 pounds and got her A1C (a measure of blood sugar control) from 8.2% down to 6.1%a huge improvement
Do not change dose or schedule without prescriber direction
Clin J Am Soc Nephrol 2022;17:467e72
Theres nutrients that we need for optimal functions
Tramadol interacts with SSRIs and SNRIs (raising the risk of serotonin syndrome)
For topiramate, the MHRA now requires a Pregnancy Prevention Programme including pregnancy testing before initiation, highly effective contraception throughout treatment, annual specialist review, and a patient guide with risk acknowledgement
