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2019;14(Suppl 1):33-38

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While effective for short-term weight loss, it comes with significant drawbacks: Only FDA-approved for short-term use (up to 12 weeks) Can cause increased heart rate, anxiety, and insomnia Has addictive potential as a Schedule IV controlled substance Weight regain is common after stopping the medication Topamax (Topiramate) Topiramate is an anticonvulsant that has been prescribed off-label for weight loss due to its ability to suppress appetite

[DOI] [PMC free article] [PubMed] [Google Scholar] 84.Drucker D.J

However, it is considered distinct from true amphetamines because its effects are milder and more targeted toward appetite suppression rather than strong stimulation or euphoria

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