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However, if it is necessary to lie down, make sure to prop yourself up with pillows to keep your upper body elevated

doi:10.1007/s00125-022-05787-2 7

the "Toxic Mirror" Subcutaneous Fat (SAT): Acts as a physiological buffer or "sink" for excess energy

Additionally, use caution when prescribing topiramate to pregnant women (increased risk of cleft palate) and to women on birth control pills (topiramate induces the metabolism of estrogen and can diminish the efficacy of the contraceptive)

Blue vials, reconstitution tutorials, dosing protocols-it's become a whole subculture