about 3 weeks ago, I started a patient on Topamax for weight loss... it is an off label use, but well known side effect. She came back today for a check up and had lost 15 pounds!

This female weighs 290 pounds now. At the most she weighed 340 pounds. She says that she just doesn't feel hungry anymore and has lost her cravings for food.

Anyone else been on Topamax before?