Comparing Contrave vs Topiramate

For Obesity I am 56yo woman, 405 lbs (not a typo), 5'9" tall. I find in thus forum that most people don't have the amount of wright to lose as I do yet I am hopeful. I started Contrave June 8th 2017 and have lost 11lbs. Soon I'll be up to 3 tabs/day. I find that it is helping somewhat yet I still am craving fast food. I am following a low carb diet with no exercise yet. I hope that the higher dose will help with the cravings more. Side effects for me have been lethargy and some nausea. I plan on continuing this med in hope that I finally can resolve my food addiction.

For Obesity Female age 40 height 5'2 305lbs. Started Contrave on 3/29/17. Week 1 I lost 6lbs!! Now 299lbs. I am pre diabetic and my doctor put me on Metformin. This was a BIG wake up call for me. I feel mentally ready to do this. So far symptoms have been nothing bad a few stomach cramps, food taste blah, a little nausea but only when I don't drink enough water. I do go to the bathroom more often about 4 times a day. I don't have cravings and I feel full. I have changed my diet big time, no carbs, fish and lean meats, lots of eggs, tons of water and small snacks throughout the day. I feel good, no tiredness like others that I read. I will continue to update weekly, I feel this will make me accountable and it may help someone who is like me struggling.

For Migraine Prevention I have been taking this medication 50 mg. Since Jan 7 ,2019. At first after reading all of the side effects and reviews I really just wanted to tell the doc forget it try something else. I guess the side effects are really just person to person. I have had the tingling in my hands and feet, and maybe some mental fog but nothing worse than my mommy brain farts. I have lost a few pounds so far like 3-4. Like I said I didn't want to take it, but I didn't want it to be that one med that worked that I passed up.

For Migraine Prevention I have been on Topiramate for over 4 years for migraine prevention, and in the very beginning was great. Went from 20+ migraines a month on a 50 mg dose to less than 5 with very few side effects (coke tasted bad, I drank water) no big deal. Now I’m up to 300mg a day and since then I’ve had kidney stones, major tingling in hands/feet, severe back pain, dry eyes, and migraines at least 4 days a week on top of other side effects. I don’t know what to do. I’m hoping it’s just the medicine doing this.