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Eventually, if ePA cannot reach the insurer, one must revert to fax

Topamax Common Side Effects Common side effects of Topamax: Feeling pins and needles Drowsiness Weight loss Nervousness Fatigue Dizziness Lack of appetite Trouble sleeping Upper respiratory tract infection (e.g., cough, stuffy nose, sore throat) Fever Change in taste Trouble moving or keeping balance Topamax Serious Side Effects Serious side effects are rare with Topamax

These baseline measurements become the reference against which all changes are evaluated