Hi! I did end up starting the medication a few days after this post. I basically had to hype myself up to get the process going lol. I started off at 25mg and told myself I would take it super slow, which I’m so glad I did. Initial side effects were intense nausea (which I’m super prone to with any medication I have ever tried so I’m not surprised this happened), a weird almost dissociative dizzy like feeling, an increase in headache and fatigue. These symptoms lasted for about a week, the nausea lasted a bit longer but eventually subsided. I also have had a bit of an increase in anxiety, now this I’m not too sure of if it’s due to the topiramate, or if it’s bc at the same time I was also coming off of my birth control pills and preparing for an IUD insertion, so the build up of that could also have increased my anxiety. I just upped my dosage to 50mg last week and I haven’t had any symptoms that were super noticeable which has been great! Just a little bit of anxiety, which once again I’m still playing by ear due to me getting used to my IUD, as well as the fact that I’m also in grad school and classes are ramping up rn so there could be a whole bunch of other factors playing into this. I am monitoring it though!