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It requires a more conservative prescribing approach as it is contraindicated for some groups, such as pregnant women, due to the teratogenic nature of topiramate
Kato M, Hughes RD, Keays RT, Williams R (1992) Electron microscopic study of brain capillaries in cerebral edema from fulminant hepatic failure
But direct comparison reveals tirzepatide's substantial advantage, with clinical trial results showing approximately double the weight reduction achieved with Qsymia's most effective dosing regimen
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