Have you been on Topamax before? Did it have the weight loss side effect specifically on you?
It does not have a strong evidence as a mood stabilizer, but I know some people who are on it for mood stabilization swear by it and have taken it for ages. You never know how you personally will react to it. Maybe you will benefit from it. Maybe you will not lose even more weight on it. There is also the argument that mood instability contributes to your not eating, and that stabilization will enable you to eat and that that toward effect of Topamax, if you experience it, will outweigh the untoward effect of lowering appetite, if that untoward effect even happens to you.
I am concerned that you will start forgetting words, which is a much more typical side effect of Topamax than losing weight, and that you won't tolerate that side effect, being a witty girl.
But how will you learn without trying if you get word recall problems on it? How would you learn anything about a drug without trying it?
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Bipolar I w/psychotic features
Last inpatient stay in 2018
Lybalvi 10 mg
Naltrexone 75 mg
Gabapentin 1500 mg+Vitamin B-complex (against extrapyramidal side effects)
Long-term side effects from medications, some of them discontinued:
- Hypothyroidism
- Obesity BMI ~ 38
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