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this was the final number of subjects included in the analysis

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Neurological Effects: Topiramate is known for side effects like dizziness, fatigue, and cognitive impairment

It slows stomach emptying so nutrients absorb more gradually

Clinicians generally recommend achieving stable euthyroid status before initiating therapy, with regular thyroid function monitoring throughout treatment

Exceeding prescribed doseswhether accidentally or intentionallycan overwhelm your body's ability to process the medication, leading to acute gastrointestinal distress and metabolic stress that requires immediate attention