Update progress of phentermine and topamax for weight loss.

I would like to give you an update on how my patients have been doing on phentermine and topamax.  Almost 90% of the patients found that they did as well by just taking the phentermine.  The weight loss benefit of the topamax was small and did not justify the side effects of the drug even at a low dose.  Patients have lost an average of 10 lbs per month with the amount greatest the first month on the medication and trailing off by month three.  The phentermine needs to be stopped for 4-6 weeks every three months so that the appetite suppressant effect returns.  This program has been the most successful with both banding and bypass patients.
 

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