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While pregnancy should be avoided on any weight loss medication, the teratogenicity risk with Qsymia (specifically topiramate causing cleft palate) is uniquely severe

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Most people can take in adequate electrolytes through their normal diet

Follow Their Guidance: Never change your dosage without consulting your healthcare provider

What made these cases particularly atypical were features such as sequential ischemic optic neuropathy (occurring in both eyes at different times), persistent bilateral disc swelling, and progressive vision loss even after initial presentation

Absorption rates can vary slightly between injection sites