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You may want to recalculate if you have significant changes to weight (gains or losses), food intake (e.g., eating out more/less than usual), or daily activity or training routines

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Common side effects of topiramate include: Burning, numbness, or tingling in your feet, hands, face, or mouth (paresthesia) Dry mouth or altered taste Constipation, nausea, or stomach pain Dizziness, drowsiness, or slowed reactions Nervousness Headache Shaking or muscle weakness Nosebleeds Involuntary eye movements Menstrual irregularities Avoid alcohol and other central nervous system (CNS) depressants, such as sedatives and certain pain medications, as they can increase these side effects