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The most common side effects of topiramate include somnolence (feeling tired), difficulty concentrating, tingling sensations, dizziness, difficulty sleeping, and depression

Der von Koeth et al

Vitamin B 12 deficiency has been observed in between 40% and 80% of the vegetarian population who do not also take a vitamin B 12 supplement or consume vitamin-fortified food

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Supporting gut health during GLP-1 medication use Pharmaceutical GLP-1 medications significantly alter gastrointestinal function