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Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them: More common side effects Less common side effects abdominal discomfort body odor depression dizziness impaired vision loss of appetite or weight swelling in hands, lower legs, and feet tingling sensation weakness For healthcare professionals Applies to levocarnitine: injectable solution, oral capsule, oral solution, oral tablet
Vitamin A and immune regulation: role of retinoic acid in gut-associated dendritic cell education, immune protection and tolerance
risk is low with Ozempic alone Fatigue and dizziness : reported by some patients Rare but serious effects : pancreatitis, gallbladder disease, and potential thyroid effects (thyroid C-cell tumours have been observed in animal studies, though human relevance remains uncertain) Common side effects of Topamax include: Cognitive and psychiatric effects : difficulty concentrating, memory problems, confusion, mood changes, and depression Paraesthesia : tingling sensations, particularly in the hands and feet Taste alterations : particularly affecting carbonated beverages Weight loss and decreased appetite Metabolic acidosis : due to carbonic anhydrase inhibition Kidney stones : increased risk, particularly with inadequate hydration Visual disturbances : acute myopia and secondary angle-closure glaucoma (rare but serious) When combining these medications, particular attention should be paid to: Cumulative gastrointestinal effects : The combination may lead to more pronounced nausea, vomiting, or diarrhoea, potentially causing dehydration and electrolyte imbalance Dehydration risk : Both medications can contribute to fluid lossOzempic through gastrointestinal effects and Topamax through reduced fluid intake (due to taste changes) and increased kidney stone risk
