"in june of 2016 weighting in at 298 lbs asked my doctor was there anything that could help. she originally put me on just phentermine dose 37.5mg which worked great . no real side effects ,  just had less interest in food . found myself having more energy and after the first month i lost 15lbs . few months later topirmate was added dose 25mg . in the beginning i experienced a bad few side effects including mood swings, and always feeling like i was burning up. but they went away after a few weeks. since adding topirmate it has given drinks a bad almost coppery taste and if i trying eat sweets will get a nauseous feeling. dose has been up to 50mg. in total i have so far lost almost 100lbs, still losing and couldn&#039;t be happier with results"