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pharmacological options include metoclopramide (5 days per MHRA guidance), baclofen, or proton pump inhibitors if reflux is contributing

Here's what you can do: Talk to Your Doctor Before Starting GLP-1s: Discuss your medical history, including any prior gallbladder issues

| Concentration | BAC Water | Doses at 1.0mg | Doses at 2.4mg | |---------------|-----------|----------------|----------------| | 5mg/mL | 4.0mL | 20 doses | ~8 doses | | 2.5mg/mL | 8.0mL | 20 doses | ~8 doses | **Note:** At 4mL+ of liquid, ensure you have a large enough syringe (5mL or two separate 3mL draws) to transfer all the BAC water accurately

The shift to off-label prescribing of GLP-1 RAs has impacted product availability for patients with type 2 diabetes

You and your healthcare provider should decide if you will continue to take Topiramate while you are pregnant

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