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But having a COA is not enough

Many people describe this phase as a gentle introduction rather than a dramatic change

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doi: 10.1016/s0020-7292(99)00168-x

doi: 10.1126/science.1124234 [DOI] [PMC free article] [PubMed] [Google Scholar] 116

Topiramate is known to occasionally cause a condition called metabolic acidosis
