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This raises potential concerns for patients with pancreatic and gastrointestinal neuroendocrine cancer or those with genetic conditions like multiple endocrine neoplasia syndrome (MEN1), which predispose individuals to NENs

Pay attention to when you feel comfortably full and stop eating at that point, even if there is food left on the plate

At high doses, topiramate may also decrease the effectiveness of oral combined hormonal contraceptives and therefore, alternative or additional contraceptive methods should be offered

Stick to the dose on the pack, and check with a clinician if youre pregnant, nursing, or take regular meds