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Description
During periods of physiologic stress, such as surgery, diabetic patients are at risk of experiencing hyperglycemia or hypoglycemia

Topamax does not share this mechanism and is generally considered to produce more modest weight loss on its own, though it is sometimes used in combination with other agents

Starting ginger tea, small frequent meals, and cold food protocols from day one of each dose increase prevents the cascade into severe symptoms

Choose whatever day and time works for your schedule and stick with it consistently

They tend to stabilize for most people
