"i&#039;ve been on topimax for about 3 months. 25mg 2x a day.  it&#039;s definitely effective in controlling my appetite. it took a little time by became more effective with time. i am able to eat very small portions and have full control over myself.  i have changed to healthy eating. less bread and pasta. more brown rice, veggies, sweet potatoes. i still fry veggies in olive oil. still eat a baked potato sometimes. but cut way back on portions and added snacks between meals.  then every 3 days i be sure to eat something a little more fattening and it makes me lose weight.  for salad dressing, oil and vinegar with seasoning packet. no sweet tea etc. lots of water. i walk daily too! started weighing 267, now down to 225. i&#039;m confident i&#039;ll lose 85 lbs"