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Its used for weight loss in two ways: Off-label: Topiramate is sometimes prescribed off-label for weight loss, meaning your provider might suggest it even though it hasnt been FDA-approved for weight management on its own

The typical dosage progression includes: Week 14: 2.5mg once weekly Week 58: 5mg once weekly Week 912: 7.5mg once weekly (if tolerated) Week 13 and beyond: May increase to 10mg, 12.5mg, or up to 15 mg once weekly based on progress and tolerance This step-up approach helps reduce side effects and supports steady, sustainable weight loss

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Moreover, side effects of creatine mostly occur during the loading phase