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Semaglutide has vaulted treatment of obesity and type 2 diabetes into a new era

DO NOT take topiramate if you are planning to become pregnant or if pregnant or breastfeeding

At these temperatures, even the stability buffers in brand-name products cannot fully protect the molecule

We warned of this growing threat to patient safety in our May 16, 2024 article, ISMP urges increased action at the practice level to halt the growing danger of counterfeit drugs, and our April 10, 2025 article , Implement strategies to prevent persistent medication errors and hazards: 2025

Barnes notes the pill can be a great option for those transitioning to maintenance or hoping for a more flexible long-term treatment option. For some, taking a daily pill feels more sustainable than committing to weekly injections indefinitely

Monitor for any adverse effects and follow up regularly
