i think i see him in two weeks. I will tell him about my continued eating and spending and ask again for a high dose of topamax. I have topamax but only for 100 mg. I can double it to see what happens but i would rather have the doctors approval. last time he wouldn't do it.I have gained over 20 pounds in the last seven months. it is scary. I am going to try spinach. supposedly it is also good for constipation.