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Other GI effects reported in 0.1% to 1% of patients during clinical trials of topiramate as monotherapy or adjunct therapy for epilepsy included hemorrhoids, stomatitis, melena, gastritis, esophagitis, taste loss, and gingival bleeding
It is cost-effective and effective for treating common B12 deficiencies
It is an inert vehicle, so any adverse effects are usually related to the act of injection or the medication being administered rather than the diluent
A responsible consultation should leave the patient with more clarity, not a one-size-fits-all protocol
An occasional drink is unlikely to cause a serious interaction for most patients, but regular alcohol use while on phentermine is not advisable
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