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Neuroendocrine and stress-related aspects of endometriosis

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In patients who develop unexplained lethargy, vomiting, or changes in mental status associated with any topiramate treatment, consider hyperammonemic encephalopathy and measure an ammonia concentration

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For the most part, the drug makers and marketers have papered over the fact that while the medications are ubiquitous, they're not widely available at a price point patients can easily afford

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