I am however able to take a razer blade and peel them a part
I think it affects the nervous system first, just because of the concentration of the mitochondria for every single neuron in the body
Additionally, the healthcare provider may check for signs of liver disease, such as jaundice (yellowing of the skin and eyes), ascites (fluid accumulation in the abdomen), or spider angiomas (small, spider-like blood vessels visible on the skin)
[2] Serious skin reactions (Stevens-Johnson syndrome [SJS] and toxic epidermal necrolysis [TEN]) have been reported in patients receiving topiramate
Zepbound: $349+ Wegovy: $499 Other medications : Non-GLP-1 options, such as metformin, topiramate, bupropion-naltrexone, and zonisamide, may be prescribed in combination and are often covered by insurance or start at $0/month depending on your plan
If transaminase levels increase, repeat the LFTs and monitor until these normalise