"i am a african american woman with my natural hair.  i have not experience any hair loss. i have been on topiramate for 10 days. i am taking 50 mg 1 pill only at night and i have lost 8 pounds so far.  my doctor recommend i take 1 pill for 2 weeks before moving to 2 pills a day. i will probably stick with the one pill because i am losing the weight. i do exercise 5 days a week also so this helps. this pill alone is not going to work you need to get moving just a little. treadmill 20 minutes is all i do. you can do it!!!! good luck..."