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Key topics to address include: Your complete medical history , particularly: History of pancreatitis or gallbladder disease (relevant for Ozempic) Kidney disease or history of kidney stones (relevant for Topamax) Any thyroid disease (Ozempic has shown effects on thyroid C-cells in rodents, though human relevance is uncertain) History of depression, suicidal ideation, or other psychiatric conditions (relevant for Topamax) Glaucoma or other eye conditions (relevant for Topamax) Diabetic retinopathy (may worsen with rapid glucose improvement on Ozempic) All current medications and supplements , as both drugs may interact with other treatments

10.1073/pnas.87.21.8417 115 SumiD.TaguchiH.TakeuchiK.FujishiroH

The choice between them depends on your medical profile, treatment goals, provider recommendation, and individual response to each medication

BMSCs were rinsed twice and subsequently fixed for 30 min

Average weight loss is 1-3 pounds per week for dedicated patients