"i just started taking this medication i was at a starting weight of 198. my migraines made me very sick and i vomited a lot and lost weight with that down to 186. started on topamax 25mg in am and pm on july 30. i am now 178. coke tastes flat so i drink more water i do have tingling in hands and feet but i am glad not to have migraines. the sleep is a problem so i think i will ask for something to help with that. i just wanted help with migraines now i&#039;m losing weight, i got help for both. i couldn&#039;t be happier"