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Topamax side effects Topamax (topiramate) side effects include: Weight loss Brain fog and cognitive function issues, including memory issues, trouble concentrating, and difficulty paying attention and focusing Nausea Dizziness Increased heart rate Suicidal behavior and thoughts Trouble with vision: harder to see things that are far away, or increased pressure in the eye (glaucoma) It is not safe for the unborn fetus in someone who is pregnant Trouble breathing Swelling in the face, mouth, and throat Allergic reactions on the skin, like itching, rash, or hives (pale red bumps on the skin) Hair loss (not a common side effect) Lower bone density Note: This is not a complete list of side effects

The amount of water you add is a choice, and that choice creates trade-offs

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Levey AS, Stevens LA, Schmid CH, Zhang YL, Castro AF, Feldman HI, et al

Many compounding pharmacies include glycine for this reason

Supplementary information Supplementary Tables 18 Rights and permissions Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made