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Changes in the face seem to be more enhanced because of it. The effects can be jarring

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What is topiramate (Topamax)

It has been shown to upregulate pathways tied to collagen and glycosaminoglycan synthesis, modulate metalloproteinase (MMP) and tissue inhibitor of metalloproteinases (TIMP) balance, and support antioxidant effects, thereby contributing to matrix organization and structural stability in research settings

Importantly, Wegovy must be avoided during pregnancy and should be discontinued at least 2 months before a planned pregnancy

At the end of the day, you need to take a hard look at your own personal situation and see if the risk, however small, is something that you are willing to handle