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Obesity Doctor: Topiramate--Is It Right For You?

1 Views • 08/26/25
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00:00 - Curious About Topiramate for Weight Loss?
00:11 - Meet Dr. Meghan: Obesity Medicine Expert
00:29 - What Is Topiramate (Topamax)?
00:46 - Off-Label Use for Weight & Overeating
01:24 - How It Works: Appetite & Satiety Signals
01:55 - Typical Weight Loss Results (5% Average)
02:17 - Use in Psychiatry to Offset Weight Gain
02:48 - Who It Might Be a Good Fit For
03:11 - Risks: Teratogen and Birth Control Warning
03:43 - Side Effects: Sedation, Mood, Energy Issues
04:14 - Other Health Risks & Medical Cautions
04:31 - Drug Interactions and Additional Side Effects
05:01 - Summary: Benefits vs. Risks
05:19 - Final Thoughts & When to Talk to Your Doctor

Hello friends, there is a lot of buzz recently about Zepbound, which is tirzepatide (Mounjaro) but approved for weight loss. But let's also remember some tried and true (and less expensive) medications that can be used potentially alongside these injection medications!

REFERENCES:
Bays H, McCarthy W, Burridge K, Tondt J, Karjoo S, Christensen S, Ng J, Golden A, Davisson L, Richardson L. Obesity Algorithm, presented by the Obesity Medicine Association 2021.
CK Kramer et al. Efficacy and safety of topiramate on weight loss: a meta-analysis of randomized controlled trials. Obes Rev. 2011 May;12(5):e338-47.PMID: 21438989
Topiramate. In: UpToDate, Post TW (Ed), UpToDate, Waltham, MA.

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