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Your GP can: Assess whether your weight or BMI warrants clinical intervention Refer you to an appropriate NHS weight management service Discuss licensed pharmacological options if clinically indicated Advise on the risks of using topiramate outside its licensed indications In summary, topiramate is not a weight loss pill
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Monitoring requirements Qsymia requires more routine monitoring than GLP-1 medications: Monthly pregnancy tests for women of childbearing age Regular heart rate monitoring Periodic blood work for bicarbonate levels (metabolic acidosis screening) Kidney function tests Mood and cognition assessment GLP-1 medications generally require less intensive monitoring, though periodic blood work to check pancreatic enzymes and kidney function is still recommended
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