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Topiramate continues to be studied as both add-on therapy and monotherapy in various refractory epilepsies in children and adults, including infantile spasms associated with West syndrome

60-day pack

Proper application technique, dosing, and timing determine whether you see results

Most people notice metabolic changes within 4-8 weeks, with visible reductions in abdominal fat appearing around 3-6 months of consistent use

Physical therapy integration Synergistic benefits: Physical therapy provides mechanical stress stimulating tissue remodeling (Wolff's Law for bone, mechanical loading for tendon/ligament)

They were split into three groups