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If you experience persistent or worsening mental health symptoms, including suicidal thoughts, call or text 988 to reach the Suicide and Crisis Lifeline for immediate support

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The typical weight loss dose for Topamax is 200 to 400 mg per day, but your doctor should start you low and titrate upward to minimize side effects like cognitive changes and tingling sensations

SPRINZ, H., MATZKE, H., & CARTER, J