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[2] Intractable epistaxis was reported in a 61 year old woman with cardiovascular disease who was receiving topiramate 25 mg daily for lower extremity neuropathy

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Specific platforms include: TrimRx: typically no pre-treatment labs required, clinician decision based on history Hims: similar approach for the compounded weight-loss program Henry Meds: accepts self-reported history without labs in most cases Mochi Health: case-by-case, often no labs required Form Health: usually requires labs for the longer-form clinical program Ro: requires labs in most cases If you have a medical condition that would change the prescribing decision (kidney disease, recent pancreatitis, thyroid cancer history, type 1 diabetes), labs are almost always requested regardless of platform

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