I was explaining this to my t the other day in terms of mips and bips- which of course I also had to explain! I told him I didn't mind when I started on topomax, that I figured I could lose a few cycles, a few mips, and still be on par if not still ahead of the rest of the pack. But it took me over ten years to remember the terms mips and bips, so maybe I overestimated myself!!