Qsymia carries pregnancy risks (topiramate causes birth defects), a more complex side effect profile including cognitive effects from topiramate, and it requires participation in a REMS risk management program
However, elevated GSH levels have been reported in multiple malignanciesincluding those of the bone marrow, breast, colon, larynx, and lungand are associated with tumor progression and increased metastatic potential (50)
This, in combination with the blood sugar-lowering effects of GLP-1 medications can make your blood sugar drop too low (especially if you're taking other diabetes medications), making it dangerous
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Heriseanu AI, Hay P, Corbit L, Touyz S