Without face-to-face assessments, its possible to miss: Important discussions about when to stop the drug before pregnancy Underlying conditions like thyroid imbalance or insulin resistance The need for a more gradual, supported weight management plan If youre considering or already using one of these medications and thinking about starting fertility treatment, its important to tell your care team as early as possible
We dont want this to go unidentified, and you should consider obtaining blood and urine samples to test patients with acute valproic acid-induced hyperammonemia for inborn errors of metabolism prior to starting treatment, if possible ultimately treatment shouldnt be delayed for testing
Mederos MA, Reber HA, Girgis MD
De Marchi S, Zecchetto S, Rigoni A, et al
All three papers say that hair loss often accompanies weight loss and is often reversible
Take one sterile alcohol prep pad and thoroughly wipe the rubber stopper on the bacteriostatic water vial in firm, circular motions for at least 30 seconds
