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If you think you may have a medical emergency, call your doctor or emergency services immediately
If you take blood thinners, talk to your provider about timing injections
Topiramate dosage for weight loss typically follows this progression: Week 12: 25mg per day (starting dose) Week 34: 50mg per day Week 56: 75mg per day (some providers stay here) Week 7+: 100mg to 200mg per day (maintenance range) Maximum: 200mg per day (higher doses add side effects, not more weight loss) Is Topiramate FDA-Approved for Weight Loss
Even so, an October 2025 Gallup poll reported that 12.4% of respondents to a nationally representative survey were taking this class of medication for weight loss
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