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Many patients notice that sensations of feeling cold improve within the first few weeks or months, coinciding with the bodys adaptation to weight loss and reduced energy intake

billing and delivery complaints are a pattern in reviews

Some side effects reported by people taking Topamax in studies include: nausea diarrhea indigestion (upset stomach) abdominal pain reduced appetite Topamax side effects may vary by age and other factors

The medication has been shown to significantly reduce HbA1c levels (a measure of long-term blood sugar control) and promote weight loss

Research indicates women over 45 may be more significantly affected