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Improved fat oxidation enhances overall endurance and helps prevent the accumulation of lactic acid, which often causes muscle fatigue during exercise

N Engl J Med 2019;381:84151

The MHRA has issued specific safety guidance: topiramate must not be used during pregnancy unless no other treatment is suitable and the benefits clearly outweigh the risks

FIGURE 7 Although the funnel plot displayed an asymmetrical distribution, examinations for small-study effects did not provide evidence supporting publication bias

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Which is exactly why the qualification criteria exist