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Safety and Medical Supervision Notes Topamax is a prescription medication with real side effects that require professional oversight

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check ferritin and iron studies before starting supplements Vitamin D : Maintain levels above 30 ng/mL through supplementation if needed Omega-3 fatty acids : 1-2 grams daily supports overall health Routine biotin supplementation is not recommended unless deficiency is suspected or confirmed, as biotin deficiency is rare in the US

Trujillo, Associate Professor, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Mail Stop C238, 12850 East Montview Boulevard, V20-1222

Lancet (2016) 388(10053):1659724
