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Description
Topamax Side Effects in Adults (400mg Daily Dosage) Prickling/Tingling Sensation (40%) Weight Decrease (17%) Drowsiness (15%) Upper respiratory infection was the top side effect in children taking Topamax, followed by weight loss

Exploring semaglutide as an alternative is worthwhile
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Have or have had depression, suicidal thoughts, or mental health issues

This is why many clinicians keep patients at 10 mg
