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More significant results typically become noticeable after 3 months, with continued improvements over time when the medication is taken consistently and supported by healthy habits

Pacyna, Wojciech Jozewicz, John Munthe, Mohammed Belhaj & Stefan Astrm (2010), "An Assessment of Costs and Benefits Associated with Mercury Emission Reductions from Major Anthropogenic Sources", Journal of the Air & Waste Management Association , 60:3, 302315, DOI: 10.3155/1047-3289.60.3.302 "Global Mercury Emissions to the Atmosphere from Anthropogenic and Natural Sources"
Lamotrigine may impair the ability to achieve ketosis

These improvements are usually gradual rather than dramatic
