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In an adjunctive epilepsy trial in pediatric patients (2 to 16 years), skin disorder (3%), alopecia (2%), dermatitis (2%), hypertrichosis (2%), erythematous rash (2%), eczema (1%), seborrhea (1%), and skin discoloration (1%) occurred more frequently in topiramate-treated patients compared to patients given placebo

[63] and [76], who reported some PMS symptoms (like anxiety and food craving) to be correlated to hyperglycemia and not to hypoglycemia

Skipping those basics makes it much harder to come off the medication or to push past the inevitable plateau once the drug stops doing the heavy lifting

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Symptoms can include nausea, vomiting, acid reflux, bloating, stomach cramps, diarrhoea, and constipation