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Despite inherent limitations of observational data and potential for residual confounding, the results from these observational analyses support, in line with RCT findings, combining SGLT2is and GLP-1RAs to reduce cardiovascular events in patients with diabetes in routine clinical care [12, 23, 43, 63]

Commonly Reported Topamax Side Effects Abdominal pain Abnormal vision Anorexia Burning or prickling in the hands, arms, legs and feet (paresthesia) Diarrhea Difficulty with memory Dizziness Fatigue/sleepiness Fever Nausea Nervousness Numbness (hypoesthesia) Slowing down of thought and movements (psychomotor slowing) Speech problems Taste change Upper respiratory tract infection Weight loss Serious Side Effects Topamax may also cause rare but serious side effects such as eye complications, metabolic acidosis and kidney stones

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This peptide is valued for the fact that it has limited effects beyond fat burning