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Theres often decreased muscle mass associated with these, he says

WARNING Before using topiramate, tell your health care provider about your medical history, especially if you have: narrow angle glaucoma and nearsightedness kidney problems, such as kidney stones liver problems depression or thoughts of suicide lung or breathing problems metabolic acidosis high blood ammonia levels long-term diarrhea low body temperature a diet high in fat and low in carbohydrates, aka a ketogenic diet brittle bones Topiramate may cause some people to sweat less

Fiber and Satiety: Viscous Fibers and the Endogenous GLP-1 Route Soluble and viscous fibers are the satiety workhorses of the category, and a subset can nudge the same gut-hormone pathway the drugs target

The 15 mg group reported 4.9% (31 cases)