Hi, Im new to topamax and started it today I am aware that a common symptom is weight loss. From what I understand the weight loss is caused by lack of appitite so that makes sense of course you would lose weight if you are eating heaps less but a lot of other reviews say that they haven't changed the way they eat and still lose weight how is this possible? I don't really understand how to medication can help with weight loss. Should I be on a healthy diet as well whilst I'm on the topamax or sticking to my normal diet is fine? Sorry for so many questions. Thanks in advance :)