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Timing matters: take fat-soluble vitamins (A, D, E, K) with a small meal containing fat, separate B vitamins and iron by at least 2 hours, and avoid taking calcium within 4 hours of other supplements because it competes for absorption
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Topamax inhibits carbonic anhydrase, which can lead to metabolic acidosis and increased risk of kidney stones, whilst Ozempic's gastrointestinal effects may lead to dehydration if vomiting or diarrhoea is severe
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