A member asked:

Does topamax (topiramate) cause weight loss due to fast metabolism or by loss of appetite? i havent noticed i've been eating less but seem to be very skinny.

A doctor has provided 1 answer
Dr. Paul Grin answered

Specializes in Pain Management

Unknown: The mechanism of how Topamax (topiramate) brings the weight loss is not yet understood. There are several not evidence based theories. The most popular one is that Topamax (topiramate) may reduce leptin present in cortisol.

Answered 8/31/2015

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