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While non-specific, a clue to the diagnosis of GCM amongst other causes of myocarditis could be rapid clinical deterioration with minimal response to guideline directed therapy, including a lack of spontaneous recovery on mechanical support which more commonly occurs in fulminant lymphocytic myocarditis

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Imbalances in these can also lead to dizziness or weakness

Side Effects of Topiramate Topiramate is a medication that was originally used to treat epilepsy and migraines

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What the STEP 1 extension found One of the clearest studies on this issue is the STEP 1 trial extension