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Visual clarity is the definitive marker

Qsymia carries pregnancy risks (topiramate causes birth defects), a more complex side effect profile including cognitive effects from topiramate, and it requires participation in a REMS risk management program

Its absence results in a decrease in enzyme activity by more than 50%, thereby exacerbating lipid peroxidation damage in ischemia-reperfusion myocardial cells[234]

Approval is not guaranteed, and the specific credentials of your assigned provider (MD, NP, PA) may vary