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In RYGB patients, continuous glucose monitoring (CGM) has become an increasingly popular and effective tool for detecting glycemic fluctuations and diagnosing PRH [53]

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Patients should also contact their GP or diabetes specialist nurse if they experience persistent gastrointestinal symptoms leading to inadequate fluid intake, as dehydration can affect cardiovascular function

Topamax Drug Interactions Certain medicines, including Monoamine oxidase inhibitors (MAOIs) such as isocarboxazid (Marplan), selegiline (Eldepryl, Emsam, Zelapar), phenelzine (Nardil), and tranylcypromine (Parnate), can interact with topiramate and phentermine