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This provides a solid rationale for considering a switch if maximizing weight loss is a key objective, particularly if results with semaglutide have plateaued

The most common side effects of zonisamide include: dizziness and lightheadedness fatigue and drowsiness language and speech difficulty metallic taste nausea Other possible side effects include: trouble sleeping lack of coordination loss of appetite and weight loss diarrhea double vision mood changes such as depression or irritability difficulty concentrating These symptoms may subside after your body adjusts to the medication

Vierucci A, De Martino M, Graziani E, Rossi ME, London WT, Blumberg BS

Biosimilar exclusivity analysis requires the BPCIA framework, not Hatch-Waxman