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A practical, patient-centred way to think about stopping Rather than asking, Can I stop? , a better question is: How can I give myself the best chance of maintaining my progress? For many people, that means: A period of maintenance at a stable dose Timing reductions for lower-stress periods Stepping down gradually Reassessing regularly Others may prefer to stop and see how they go, with close monitoring and a plan to restart if needed

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When oxidative stress is high and glutathione is low, mitochondrial efficiency drops, leading to fatigue and brain fog

Bronwyn Holmes, MD, a board-certified physician at Eden Health

Patients should never seek or use topiramate for weight management without explicit medical supervision

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