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Author Topic:   topomax and irritability
ovationt6string@yahoo.com
unregistered
posted 02 January 2005 02:10 AM           Edit/Delete Message Reply w/Quote
RJ - thanks a ton for your response. Princess - thank you too for your information!! My problem is - I don't really have chronic back pain. On the contrary, my back pain is VERY minor and is directly related to my weight (I am 6'2" 325#). Basically, if I lay flat on my back for about 30 seconds I have back pain - other than that there is no pain. My doctor is foreign and not exactly the best at relaying his thoughts. I went to him because I have an aversion to sleep (i.e. I don't like to go to sleep) and mentioned I have some back pain because of my weight. He put me on topomax for the back pain, and he said a side benefit (I think the main benefit really) is the weight loss. I am thinking this might be a bit severe since from the sounds of it this is a pretty potent drug (I have never taken any type of drugs other than OTC sleeping pills - I am 34). Any thoughts on this? I am starting to think he is nuts - and might see another doctor about what he thinks? Any replies are greatly appreciated.

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moodbetter
unregistered
posted 02 January 2005 10:56 AM           Edit/Delete Message Reply w/Quote
i started topomax as a result of years on different antidepressents not really working well and having bouts of mood swings depressions agressive behaviors/acting out and chronic stress/head aches. Gradually got off of high dose of SRI. but got back on a low dose of Clexa and added Welbutrin 350. On Topomax 200 mg now. I haven't noticed any different tast in carbonated drinks or changes when I drink alchohol. DOo notice the tingling in hands and feet and sore throat, but seems to be getting better. What I do notice is the stability in my moods. I don't "freak out" or lose control as much or when I do I can apologize or step out of the situation. It has also helped me maintain my weight around the holidays.

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Wandrnrose7@aol.com
unregistered
posted 03 January 2005 01:56 AM           Edit/Delete Message Reply w/Quote
Dear Pat,

I started Topomax the beginning of November. I am currently experiencing severe gastro intestinal bloating and was in the ER twic last month. Doctor's couldn't figure out what was wrong, then noted that I had "back up". I have never had a problem before with this but I can tell you what, if it happens to one person on the side affects, it's me, and constipation is one. There are also issues with fatigue, irritability, severe loss of appatite. I just keep dropping weight [ I don't need to, I'm under 118 now and still losing]. I have stopped taking the drug myself and am going to see a stomach specialist tomorrow to rule out diverticulitis [my Mom had it]. I am so sick and had so much pain this holiday I put myself on a liquid diet until tomorrow-- it seems to be helping, but I am exhausted and praying for relief. I've asked all the doctor's I've seen, and two ERs if my symptoms could be related to the drug I am on and they all poo pooed my suggestion. My advice is read all the fine print and go very slowly. It has many bad side affects that might crop up [double vision] Stay hydrated because it's known to cause kidney stone.... and the list goes on.

PS. I was put on this for chronic migraines from car accidents suffered in the past five years [head injury in 2000]after losing my circulation to increased doses of Imitrex.
Hello everyone. I'm 57 and going to start Topomax. i'm nervous about the side effects. My neurologist recommended it, because I've been using Excedrin for 20 yrs. I was up to 6 to 8 excedrin a day and ended up in the hospital last week with a bleeding ulcer. so, no more excedrin, but my head is killing me. should I bite the bullet and start my topomax? Pat[/QUOTE]

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K-Ron
Member
posted 04 January 2005 10:04 AM     Click Here to See the Profile for K-Ron   Click Here to Email K-Ron     Edit/Delete Message Reply w/Quote
TO OVATION6STRING -
I think you should definately get a second opinion. This is a very potent drug with some side effects that shouldn't be taken lightly. This message board is a tremendous wealth of information so read the posts but please, find yourself another doctor and good luck to you.

[This message has been edited by K-Ron (edited 04 January 2005).]

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Ladybug33
Member
posted 09 January 2005 10:30 PM     Click Here to See the Profile for Ladybug33   Click Here to Email Ladybug33     Edit/Delete Message Reply w/Quote
quote:
Originally posted by Lorrie:hello my name is carmen and im on topomax but right now 50 mg is not working so they are giving me 100mg for winter, but for me the food taste bad and im very moody, and sleepy that does not go away my doctoc told me i will wish you good luck
I am just going to be starting on topamax, so am glad to hear you have been headache free with it. First I have to gradually decreasee off of amitriptyline, and that has been a challenge (that is making me irritable/anxious and having difficulty sleeping.)

I will be interested to hear how you are doing, and hopefully your side effects go away and the stuff still works. Good luck!
Lorrie


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Ladybug33
Member
posted 09 January 2005 10:35 PM     Click Here to See the Profile for Ladybug33   Click Here to Email Ladybug33     Edit/Delete Message Reply w/Quote
quote:
Originally posted by egantwin:hey ther i just wanted to agree with you in what you were saying i have neurofribromatosis and i had 15 migrain a week, i started with topomax made me stop some of the migrain but im always wanted water, and, the food for me taste weird and im alwas tired but then im on 125 mg now but only because it is winter but boy im so happy, ladyluck from canada
Dear Lorrie, Well, It's been a couple of months for me. Unfortunately, I had a cluster of migraines during the week of my last period. I was up to 100 mg per day at that point and my neurologist thought I was doing good and wanted me to go up to 150 mg. It's been 2 or 3 weeks since then. I'm up to 150 and the side effects I was feeling (irritibility, some gas pain, some other minor things) have subsided pretty well. I still feel some tingling in my arms and legs once in awhile but it doesn't really bother me much.
I've had only one migraine in the past few weeks. I took an imitrex early and it went away quickly and completely. Normally that would be the start of a few days worth of headaches. I'm thinking I may need to go up a little more in dosage (to 175 or 200 maybe) My doc says they find the medicine most effective between 100 and 200 milligrams. I'm going to wait until I go through my next period and see what happens. Then I'll talk to him. I wish you continued success with your trial. Do you have any side effect complaints? If you do, hang in there. You'll prbably get used to them. I wish you many migraine-free days, weeks, and years! SIncerely, Eileen

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Ladybug33
Member
posted 09 January 2005 10:39 PM     Click Here to See the Profile for Ladybug33   Click Here to Email Ladybug33     Edit/Delete Message Reply w/Quote
quote:
Originally posted by Sue:dear sue yes after you take topomax you will not drink cokr or anythinh with fiz again i no the feeling good luck
I started taking Topomax about a week ago and immediately noticed that carbonated beverages taste flat. Only other side effect is that I feel quite tired/fatigued, but happily, no migraines since I started taking it.

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walking drug store
unregistered
posted 12 January 2005 08:51 PM           Edit/Delete Message Reply w/Quote
I have been reading your messages for topomax. I am a strong advocate of it. I have been taking topomax since the fall of 2001. My body does not like me as I have several auto immune disorders: lupus, ulcertive colotis, severe allergies, and I'm bi-polar! So I'm a walking drug store to combat all of these ailments. I know I keep Walgreens in business for sure! I want to buy some stock!

Anyway, I write to say to those of you who are starting out, if you can hang in there with the early side effects, they will pass. I take a small dose of 25 mg twice a day. But I should inform you that I also take 100 mg of zoloft in the a.m. and 100 mg of seroqual in the p.m. to help me sleep at night. But all I can tell you is that once I started topomax, 3 days later I had relief. The pain was gone!

I have found that right now I'm taking the right cocktail (medicine combination) for all my health troubles. 2004 was a good health year. No hospital stays, no bouts of depression, etc. Thank God, I'm maintaining.

So I say to each of you: Keep your head up and I hope that each of you find your right cocktail of relief. But I must add, I don't drink alcohol anymore, but I do drink cokes like those who drink coffee! Don't give up your coke, the taste will return!

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kathyk
unregistered
posted 13 January 2005 01:33 PM           Edit/Delete Message Reply w/Quote
I have migraines and my doctor suggested not taking Prozac any longer (which I take for PMS) since it can cause headaches. The Topamax sounds like it works good for headaches but not for moods. Does anyone know why it would be good for Bipolar and not for PMS.

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Autumn C
unregistered
posted 14 January 2005 12:25 AM           Edit/Delete Message Reply w/Quote
After reading a lot of the posts, I feel that the only thing that I have in common with most of you is the headaches, barely. I don't get asteroids out of the sky, just daily moderate headaches that make me turn down radios and talk less. I take 75mg of Topomax per day at night.I started out at 25, then 50 (week 2), then 75 (week 3).We were working up to 100mg, but my headaches went away at 75mg, so that's where I stopped. I don't get the strange diet soda taste thing (drink 44oz a day), I might of dropped some weight (definately haven't gained any), no mood swings, no irritability, nothing. I've been taking Topomax for about 2 months now, and love it. The only catch is that I also have MS, so I also take Prozac 20mg, Copaxone 20mg, Provigil 200mg, for my MS symptoms. Maybe it's something in the drug combinations that make the Topomax so tolerable, but I hope this helps some of you.

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filos5
unregistered
posted 14 January 2005 10:29 AM           Edit/Delete Message Reply w/Quote
I am 32 years old and I have been suffering with migraines for 21 years. I have had all of the tests performed (MRI's and CAT SCANS) and have taken every new drug they call the miracle cure. I heard about TOPAMAX 3 years ago and was started on 25mg daily. In the beginning, I began to show signs of weight loss, numbness in my hands and feet, and my hands and feet were very sensitive to temperature changes, especially cold. The headaches began to decrease. Before I began taking the TOPAMAX I was having approx. 15 headaches a month. The TOPAMAX made a dramatic improvement. I went to maybe 2-3 around the time of my cycle. I would then use my ZOMIG to fight those off. Over the course of several months I did become less patient and find I was having outbursts for no reason. This was out of character for me. I have three young sons at the time were 1,3, and 5. The headaches were becoming more frequent so we increased the dosage. As time went on each time the headaches would increase the dosage would increase. In May of 2004, I was up to 75mg. By that time I was experiencing balance problems and periods of dizziness, but like most of you anything outweighs the thought of a migraine. I have 3 little boys to take care of with no family support. If I don't take of them who will. The migraines were becoming frequent again in October so we increased the dosage again to 100mg. I am now suffering from dizziness, constant numbness in my hands/feet, chest pain, memory loss, and the inability to think clearly. I guess sometimes you have to choose if the side effects are worth not suffering through that pounding pain in your head day after day. I just couldn't take it anymore and I am willing to put up with whatever I have to to not feel that again. Thanks for listening.

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Calico
unregistered
posted 15 January 2005 11:56 AM           Edit/Delete Message Reply w/Quote
Hi, I have just found this site for the first time last night and to say the least it is very interesting and informative. I am 35 years old and have been on Topomax for approx. 3 1/2 months now, starting out at 25mg. and working up to 100mg., I was given the med. for carpal tunnel syndrome mainly, but was told by my neurologist that it would also help my migrains, "after your body adjust to the side affects of tingling in your arms and feet" Well to make a long story short my body has not adjusted to that side effect, when I finally got to 75mg. I stayed there for a month, then got brave enough to increase the amount to 100mg and the tingling was not only in my hands and feet but also in my face and to the point that all day long I felt like my whole face was numb, so I lowered my dose back to 50mg. and am at least able to deal with it. I have only had 2 migraines in the 3 months, my carpal tunnel is still terrible, and I have actually gained about 15lbs. I am one who needs to loose several pounds, not gain, and NO my eating habits have not changed any, there is not obvious reason for gaining ANY weight. Any suggestions would be greatly appreciated.

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walking drug store
unregistered
posted 15 January 2005 08:50 PM           Edit/Delete Message Reply w/Quote
Calico I had the carpal tunnel surgery for my right hand. It was a life saver for me. I use the computer daily at work and home. It was a great relief because I had no sensation in my hand nor my arm. I just deal with my health issues one step at a time. I hope this helps. 8-)

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RJ
Member
posted 16 January 2005 08:58 PM     Click Here to See the Profile for RJ   Click Here to Email RJ     Edit/Delete Message Reply w/Quote
Calico and Filo- Welcome:

Calico: I can share that Topomax has been originally given to me for Migraines but has inadvertantly helped me with my chronic back pain. This however took a while to work, and it didn't happen until I was at a specific mg, for a good amount of time. For me, this medicine is so foreign to the system that it is agitating each time I move up on the dosage. Therefor, the side effects can sometimes side track my awareness of the progress it is making for me. But - it has really been worth it, over all. I did want to mention though, in terms of the weight gain, that my primary physician, who specializes in women's medicine (and I am not saying this directing it towards your gender - I can't tell which you are - but more because it is an area that is easier for women to experience due to their physic), did warn me that in the same way that Topomax desensitizes the taste buds for hunger, it can also do the same for fullness. It also slows your whole system down, including your ability to burn calories. She cautioned me to watch my eating habits, and that I needed to eat, but also had to tell myself when to stop; due to the fact that I might not be able to feel when I am full - like my feet and hands (and maybe like what you are experiencing in your face sometimes?). Maybe this will be helpful, I hope? Also, I use "post it notes" to remember to drink plenty of water - it is so important in preventing kidney stones - that seem to be a very prevalent side effect on Topomax. Most importanty, stay on the boards - you will find people here that use this medicine everyday that can relate - and you too may be able to help someone!


Filo: I am worried about you. Can I urge you to get a second oppinion right away? Maybe print what you wrote on the board and give it to your Dr? I am not a doctor, but chest pain and dizziness does not sound good to me. Also, it sounds like you have a lot of responsibility, beyond just yourself. Does your Dr. understand this? They need to understand these things, right along with your immediate symptoms - especially if you have 3 children and lack that immediate support system that you sound like you really could use right now. Sometimes it can be easy to forget that we are trying to get healthy and we start to accept abnormal things that can do us more harm (see some of the conversation under "Topomax and Resistance Re: hiding in the dark"). CHEST PAIN IS NOT A NORMAL OR SAFE side effect! I would call your Dr. or the ER for that right away (like when you are reading this - even if you are not feeling it at the moment) and ask them what they think you should do. Will be thinking of you and sending strength and good karma your way.

Best Regards,
RJ


quote:
Originally posted by Calico:
Hi, I have just found this site for the first time last night and to say the least it is very interesting and informative. I am 35 years old and have been on Topomax for approx. 3 1/2 months now, starting out at 25mg. and working up to 100mg., I was given the med. for carpal tunnel syndrome mainly, but was told by my neurologist that it would also help my migrains, "after your body adjust to the side affects of tingling in your arms and feet" Well to make a long story short my body has not adjusted to that side effect, when I finally got to 75mg. I stayed there for a month, then got brave enough to increase the amount to 100mg and the tingling was not only in my hands and feet but also in my face and to the point that all day long I felt like my whole face was numb, so I lowered my dose back to 50mg. and am at least able to deal with it. I have only had 2 migraines in the 3 months, my carpal tunnel is still terrible, and I have actually gained about 15lbs. I am one who needs to loose several pounds, not gain, and NO my eating habits have not changed any, there is not obvious reason for gaining ANY weight. Any suggestions would be greatly appreciated.

[This message has been edited by RJ (edited 16 January 2005).]

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DJ
Member
posted 17 January 2005 03:17 PM     Click Here to See the Profile for DJ     Edit/Delete Message Reply w/Quote
Just started taking Topomax. Starting at 25 mg. and will eventually increase to 100 mg. I am already experiencing lethargy and have called my doc. I am on Welbutrin and Risperdal (very small dose) for anxiety and depression and am already fighting lethargy due to the Risperdal. I am worried about the side effect affecting vision. Has anyone had this side effect? Is this common and should I be worried? This seems to be a contraversial drug in the medical world according to the internet write ups.

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Adrina
unregistered
posted 17 January 2005 11:04 PM           Edit/Delete Message Reply w/Quote
I have suffered from migraine headaches for over 30 years. I have tried all kinds of pain killers, and over the counter medications you can think of. I have been on Topomax since 10 days, and all I can say is VOW BIG BIG DIFFERENCE UNBELIEVABLE, I am a different person, I am normal like everybody else, I do not wake up every morning with a pain, I do not have to decide on how many feurinal to take before it upsets my stomach. Things are wonderful. I have had one headache since 10 days which I controlled it by taking 2 Advils (yes, just TWO ADVILS) Can you believe that. I take 25mg twice a day with plenty of water. I am also taking Amitripteline 50mg every night. Yes, the first week I was hearing some noises in the background, as if there was a radio on, yes you feel doppy, and forgetful, cannot remember names or some words, but who cares, seriously, I would rather be like that than have migraines. Anyway, so far so good for me, I will keep you guys posted. PLease pray for me that these pills keep working for me, and I hope they will work for you guys too one day, keep trying.

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AlanD
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posted 18 January 2005 08:17 PM           Edit/Delete Message Reply w/Quote
I have written before on one of the earlier pages. I started on Topomax a few months ago. It was given to me for migraines and I was weaned off of amytriptoline. I started with 25mg at night and 50 in the AM.
I was on it for about 8 weeks. In that period of time, no, I didnt have any migraines, but let me tell you about the sides affects. After about 3 or 4 weeks of the drug building up in my system, I started having a series emotional explosions. My moods went from bad, to worse and even beyond. My family, friends, neighbors, co workers and just about anyone I crossed became a target. I couldnt control my emotions and I was very mean, and scarey to the people around me. It brought out a side to my personality that I never knew existed.
It got to the point that unless I got off the drug, I would have had to deal with restraining orders from people that I had altercations with.
Finally, my Dr took me off of the Topomax and put me on Zonegram. That lasted for all of 10 days because it made me just as depressed ( less moody though)
Now Im on nothing and waiting for my first big migraine. I know its on its way, just when I dont know. I fel totally unprotected.
Im not sure if my brain recovered yet from the drugs, but its certainly not in the condition that it was when this all started.
Im 45, have 4 kids and a wife, I work whenever I have the strength. This experience has cost me close to 30 pounds, and I wasnt overweight to start with.
I didnt realize how potent these drugs can be. Now I think Im going to have to go to a shrink to try to get my old self back.

Has anyone experienced really bad mood swings and wild behavior as Iv described ? Please do share.

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Princessdinkydi
Member
posted 18 January 2005 11:31 PM     Click Here to See the Profile for Princessdinkydi   Click Here to Email Princessdinkydi     Edit/Delete Message Reply w/Quote
DJ: CALL YOUR DOCTOR ABOUT THE VISION CHANGES ASAP!!!! NOT NORMAL NOT RIGHT

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DJ
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posted 18 January 2005 11:52 PM     Click Here to See the Profile for DJ     Edit/Delete Message Reply w/Quote
Thanks Princess! But I haven't gotten the side effect regarding the vision I have just read about it and was wondering if anyone had had it. It seemed to be serious enough to question using the medication with an FDA warning and all. One thing I did do that helped my lethargy side effect was that I switched my dosage to the evening time. I build up to 50 mg this week. then 75 and finally 100 mg. Just reading about all of these side effects people have been having has had me worried.

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Princessdinkydi
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posted 19 January 2005 11:17 AM     Click Here to See the Profile for Princessdinkydi   Click Here to Email Princessdinkydi     Edit/Delete Message Reply w/Quote
DJ: :Wheew: you had me worried.....If you vision changes it glucoma(sp) can set in rather quickly and depending on how your body reacts treatments are as invasive as blood transfusions! eek!

I expierence some blurred vision, which is no biggies, but if it gets where you can't see at all, or if you feel like your eyes are goin to pop I'd be worried.

Sounds like you're titrating rather quickly though. I.e. It took me 2 months to get to 200 mgs. Generally my doc gave me a good 2 weeks in-between titrations to get used to the Topamax in my blood level....and to let the SE's subside enough to function. Lethargy...yeah you'll have that. It does help to take it at night, but to be honest....once they have you on the higher doses you'll learn to just live with it. (It will get to a point where they will start split dosing where you will take 1/2 in the am and 1/2 in the pm) Good news is it gets better......I poseted in the public forum ....you might want to check it out.....I cant' remember what I named it, but it was something along the lines of if the SE's really wear off or not.

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Alicia
unregistered
posted 19 January 2005 09:58 PM           Edit/Delete Message Reply w/Quote
I just started Topamax a couple of days ago for a seizure disorder. The very first day I took it carbonated drinks lost all taste. I opened up a can of Diet Dr. Pepper and thought something was wrong with it. I went to the refrigerator and got another, same thing. I also have the tingling in my fingers. I could stand the weight loss side effect, more than anything else though. I am glad I am not just losing my mind with the loss of taste thing. Thanks for everyone's input.

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Princessdinkydi
Member
posted 20 January 2005 01:39 PM     Click Here to See the Profile for Princessdinkydi   Click Here to Email Princessdinkydi     Edit/Delete Message Reply w/Quote
Welcome Alicia, and I'm glad to see you didn't go through a hole six pack before you figured out the soda thing

Come here, post often, you are most welcome to come! Remember the tinglies are drug induced....so baths and body rubs help the best.....

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Kerry
Member
posted 20 January 2005 04:29 PM     Click Here to See the Profile for Kerry     Edit/Delete Message Reply w/Quote
Hello, I just found your site while researching about Topomax. My Dr. has just prescribed it for me as I suffer with severe Fibromyalgia, chronic nerve pain, due to a stroke, and back and hip problems. I have been using Methadone for help with the pain, but the Dr. now wants me to use Topomax as well. Has anyone else been using this with Methadone? What were the results? Is it common to start off at 25mg? Any information you have is much appreciated. Have a good day.

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DJ
Member
posted 22 January 2005 06:05 PM     Click Here to See the Profile for DJ     Edit/Delete Message Reply w/Quote
Well I am on week two of Topomax. My doctor switched me to night time dosage due to drowsiness. It really helped! I have only had two small headaches. Not really noticing any weight loss though. Does Topomax slow down the metabolism? I am eating less it seems but not losing any weight. It would be a welcome side effect if I did. Along with no headaches!!

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Princessdinkydi
Member
posted 23 January 2005 03:46 PM     Click Here to See the Profile for Princessdinkydi   Click Here to Email Princessdinkydi     Edit/Delete Message Reply w/Quote
Welcome Kerry! I do not know anything about your circumstances...but welcome to the boards!

DJ! Glad to hear things are working better now that you are dosing at night. Don't know what to say about the weight thing......What are you eating when you're eating? Are you compensating? Sometimes my body craves things like mass amounts of peanut butter now at times when I do eat...which isn't often....well we all know Peanut butter is high in fat and protien....get it? Just a thought.------ Oh, Yeah almost forgot, Topamax makes the metabolism go faster, not slower.

[This message has been edited by Princessdinkydi (edited 23 January 2005).]

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