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Large employers can pay extra to maintain coverage

Serious side effects are rare but may include: Skin issues (rash, blisters, peeling) Vision problems (blurred vision, loss of vision, double vision, eye pain, redness) Seizures Feeling cold, chills, or a low body temperature Cognitive issues (difficulty concentrating, speech problems, confusion, memory problems) Coma (loss of consciousness) Coordination problems Heart-related symptoms (pounding or irregular heartbeat, chest pain, shortness of breath) Altered mental state (inability to respond to surroundings or mood changes) Tiredness Gastrointestinal problems (diarrhea, vomiting, loss of appetite) Kidney issues (intense back or side pain, abnormal urine) Frequent urination, pain while urinating Signs of infection (fever) Bleeding or bruising problems Osteoporosis In general, higher doses of topiramate are associated with an increased risk of adverse reactions

Findings uncovered that GLP-1RA use was associated with a lower risk of all-cause mortality, but there were no significant differences in incidence of in-stent restenosis (the re-narrowing of the coronary artery) or revascularization (repeat PCI or coronary bypass surgery) at three years

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