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The drug is no longer suppressing appetite

Despite evidence that weight loss improves obesity-related complications, the age-adjusted prevalence of obesity in US adults in 20172018 was 42.4% [2], indicating an unmet need in the management of obesity

Why a Medical Weight Loss Doctor Matters A prescription-only approach may focus on access to medication

Patients should be counselled about managing these symptoms and maintaining adequate hydration, particularly as dehydration may increase the risk of kidney stones with topiramate

How Dose Titration Works in Clinical Practice Standard titration begins with the lowest dose to assess tolerability and initial metabolic response

In the meantime, you may notice other changes , like fewer cravings, better control over your eating, and an increased sense of fullness after you eat