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Common side effects of topamax for weight loss include: Tingling in hands and feet (paresthesia) Fatigue and drowsiness Brain fog and word-finding difficulty Altered taste (especially soda tasting flat) Appetite loss Increased kidney stone risk Mood changes What Real Patients Say About Topiramate for Weight Loss Patient experiences with topiramate for weight loss split almost evenly, and that split is the most honest summary you will find

In the available research, no meaningful elevations in cortisol or prolactin were observed compared with older secretagogues