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B12 is commonly taken alongside other vitamins, especially folate or a general multivitamin
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For someone with severe obesity facing immediate health consequences, this additional efficacy could prove decisive
It is believed to work through several pathways: Blocking voltage-dependent sodium channels , reducing neuronal excitability Enhancing GABA (gamma-aminobutyric acid) activity , an inhibitory neurotransmitter Antagonising glutamate receptors , further dampening excitatory neurotransmission Inhibiting carbonic anhydrase enzymes , though the clinical significance of this effect varies Topiramate is taken orally, typically once or twice daily
