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In pediatric monotherapy trials for epilepsy, epistaxis was reported in 0% of patients receiving topiramate 50 mg per day and 4% of patients receiving 400 mg per day
And as always when in doubt, consult a qualified healthcare provider or hormone optimization clinic
The standard guideline is that an opened vial of BAC water should be discarded after 28 days
Advise patients and caregivers of the increased risk of suicidal thoughts and behaviors and to immediately report the emergence of new or worsening of depression, suicidal thoughts or behavior, thoughts of self-harm, or other unusual changes in mood or behavior
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