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The slowed gut motility that helps with weight loss also slows bowel movements

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[2] [3] [4] Topiramate can cause fetal harm when administered to a pregnant woman

Weight management can be addressed more comprehensively once breastfeeding is established or completed, allowing for a broader range of safe and effective treatment options including, if appropriate, medications like Saxenda under proper medical supervision

The product ships internationally, sometimes disguised as cosmetics or skincare products to avoid customs scrutiny