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Overlapping Side Effects and Enhanced Risks Both medications have side effects that, when combined, could be amplified or create new challenges: Gastrointestinal Issues: Both Topiramate and Semaglutide can cause gastrointestinal side effects such as nausea, vomiting, diarrhea, and constipation

With how little we know about the experimental compound, its long term effects, potential negative side effects, etc., I do think it would be irresponsible to recommend it to others, especially athletes one is coaching

Diabetes, Obesity, and Metabolism, 23 (10), 2242-2250

For this reason, the PHQ-9 appears more suitable for rapid screening

doi: 10.7717/peerj.19858 332 ShenPLinWBaXHuangYChenZHanLet al

Other Vitamin/Mineral Shortfalls: Calcium, magnesium, zinc, and copper are among other micronutrients that could become low if your diet is very limited