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If you are working with a qualified clinical team who is assessing your total nutrition (food and supplements), medications, lifestyle choices and will do so while you are on the medication, you may not need other services, so just getting the medication could be a win.

Eat smaller and frequent meals: Less pressure on your stomach

Clinical manifestations of interstitial cystitis and bladder pain syndrome: analysis of a patient registry in Japan

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Vomiting will not lessen the amount in your bloodstream

Quick Answer: Yes, it is possible to take topiramate with Ozempic, but only under the strict supervision of a healthcare provider