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Before using zonisamide, tell your health care provider about your medical history, especially if you have: kidney disease liver disease long-term diarrhea lung or breathing problems metabolic acidosis or diabetic ketoacidosis high ketone levels in your blood or urine you use insulin or other diabetes medications history of psychiatric disorders or suicidal thoughts Talk to your health care provider if you are planning to become pregnant or if pregnant or breastfeeding

Changes in blood sugar regulation, altered eating patterns, and the general metabolic shift that accompanies significant weight loss may all contribute

But, for those that can handle the intermittent nausea, ALMOST EVERYONE seems to lose weight with this drug

Allowing appetite to guide intake while prioritizing protein and nutrient density produces sustainable patterns

Wait at least 30 minutes before eating, drinking any other liquid, or taking other medications orally