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Pharmacists play a key supporting role by supplying educational materials (such as the Patient Card and Guide), reinforcing counselling messages, and advising patients not to stop valproate abruptly but to seek immediate medical advice if pregnancy is planned or suspected

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Some supplements or herbal extracts may cause side effects or interact with other medications

Peer review Peer review information Nature Communications thanks Kathrin Ulrich and John Mieyal for their contribution to the peer review of this work

Losing muscle doesnt mean just losing strength The consequences of excessive muscle loss extend beyond strength