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Evolve is made with natural ingredients and is generally well-tolerated

About 10% of patients may experience mild to moderate cognitive adverse effects early on topiramate treatment with verbal fluency being more affected compared to other antiepileptic drugs

Combined with the additive effects of substantial weight loss, the glycemic improvement often exceeds whats achievable with multiple oral diabetes medications combined

Dietary fibre from whole foods should remain the foundation of fibre intake whenever possible

Disclosure Dr Doundoulakis, Dr Antza, and Dr Toulis report no conflicts of interest in this work

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