@pegasi99 CONGRATULATIONS ON THE WEIGHT LOSS!!!! That is a wonderful accomplishment. I’m not as skinny as my photo any more, thanks to cancer then hysterectomy then instant post menopausal weight gain. It has been so depressing. I hate it. Wellbutrin has helped, so did COVID a year ago when I coughed so much I threw up almost every day for nearly five months. I pretty easily gave up on eating now that I think I’ll be missing at least 15% of my smell/taste forever.
I have tried Topirimate 2-3 times, also once prescribed to be by brain neurologist for migraines. Have you tried Botox for migraines? It nearly alleviates all my headaches; I can’t recommend it enough. You barely feel a thing with the little needle pricks - unlike in the bladder!!!!!!! Interestingly, the majority of the Botox goes in your neck and trapezius muscles.
You’re right that Topirimate is one of the top eating/craving suppressants. It’s original name is Topamax, commonly called Dopamax because of how dopey and lethargic it can make a person. It is an older drug that was widely used to sedate patients in state hospitals back in the day. With it, even at a very low dose, I experienced “noun failure,” where I couldn’t remember nouns I was trying to say, even though I could see them in my mind’s eye and desperately knew what I was trying to say. It was a huge confidence-destroyer which doesn’t work for my job as a Producer. My brain is usually pretty sharp, and I’m a fast talker, so I couldn’t stand that brain/speech delay; I felt wayyyyyyy too dopey.
Both Gabapentin and Topirimate may be causing your daytime sleepiness. Have you ever tried Wellbutrin for craving suppression? It’s the number one most commonly prescribed medication to help people quit smoking, it’s that powerful. It is a stimulating antidepressant so it gives you energy. Unfortunately, in some people, particularly men, it can inflame the urethra. In me, it has wiped out how good food used to taste so I just don’t want it any more. I started it at the same time I got COVID, so I’m not all that certain which one is suppressing my appetite the most. It’s actually kind of annoying because it’s a chore to eat now. On days like Thanksgiving or Christmas, I don’t take it so I can taste everything in a more pleasant fashion. It certainly saves time and money not to crave eating but I’m thinking it’s actually not that healthy. Unfortunately, my busy job makes it even easier not to eat, also.
Some people lose gobs of weight with Wellbutrin. I only lost 25 lbs. - so far, seems like I’m stuck
Something is really wrong with my endocrinology after menopause, despite taking two kinds of estrogen replacement therapy (transdermal patch and vaginal cream to prevent prolapse and other things). I need to see an endocrinologist but as usual, here I am barely finishing work at nearly 4:00 a.m. and I already have so many doctors appointments.
Sorry to hear you experience FI and have trouble with acidic foods. Both would drive me crazy! Sounds like you’re a real trooper!