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For most antibiotics, this is not a major clinical problem

DRUG INTERACTIONS As with other medications, topiramate can interact with alcohol, marijuana and certain medications, including antiepileptic drugs, CNS depressants, oral contraceptives, lithium, other carbonic anhydrase inhibitors, hydrochlorothiazide, pioglitazone and amitriptyline

The peak concentration from a weekly injection given on, say, Thursday evening would arrive Friday evening through Saturday

Probiotic-rich foods to cultivate: Kefir (fermented milk with attitude) Sauerkraut (unpasteurised for maximum benefit) Kimchi (spicy, fermented Korean vegetables) Miso (umami-rich fermented soybean paste) Tempeh (fermented soy with a nutty flavour) Natural yoghurt with live cultures Kombucha (fermented tea with fizz) Extra support: For those of you who are wanting to give their gut microbiome a really comprehensive boost, consider a high-quality synbiotic like our Love Your Gut Synbiotic