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Frequency: Topiramate is typically taken once or twice a day, with or without food
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Patients should seek emergency care if they experience persistent right upper quadrant pain lasting more than 6 hours, fever above 100.4F (38C), jaundice, severe vomiting preventing oral intake, or signs of sepsis such as confusion or rapid heart rate
Many Found members also describe a quieting of "food noise" the persistent, low-level mental preoccupation with food and eating that makes changing habits so difficult
Special Considerations for Women Women, in particular, may respond differently to fasting depending on their menstrual cycle, hormone health, or stress levels
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