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Key topics to address include: Your complete medical history , particularly: History of pancreatitis or gallbladder disease (relevant for Ozempic) Kidney disease or history of kidney stones (relevant for Topamax) Any thyroid disease (Ozempic has shown effects on thyroid C-cells in rodents, though human relevance is uncertain) History of depression, suicidal ideation, or other psychiatric conditions (relevant for Topamax) Glaucoma or other eye conditions (relevant for Topamax) Diabetic retinopathy (may worsen with rapid glucose improvement on Ozempic) All current medications and supplements , as both drugs may interact with other treatments
One downside was the overwhelming exhaustion I felt by the end of each day
Carey MD Krieger School of Arts and Sciences, Johns Hopkins University, Baltimore
L-Carnitine Injection Packing: 5 Ml Ampoule
doi: 10.1016/j.phrs.2019.104473
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