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Topiramate is contraindicated in pregnancy for migraine prophylaxis and requires highly effective contraception and signed risk acknowledgement for women who could become pregnant

These insights do not predict whether you will succeed with natural alternatives or require medication, but they can support a more nuanced conversation with your provider about individual variation

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In order for our bodies to use B12, the form of cobalamin must be converted into methylcobalamin through the MTRR enzyme