r/PhentermineTopiramate

I've been on WEGOVY for going on 4 weeks at .25mg

I've noticed my chronic pain is 100% worse and I also have horrible fatigue & dizziness.

I lost 3 lbs but then gained 2 back even tho I have no appetite and am eating much less.. often less than 1000 cal/day.

Had anyone else noticed their pain level escalated after starting semaglutide?

..I have done complete food fasts for 12 days without ANY problems or pain in the past 2 years.. which means the current chronic pain increase, dizziness, fatigue, etc are specific to the WEGOVY itself.

I’ve been on and off phentermine for 2 years, but doctor says I could be on it for the rest of my life, in some form.

I live in FL. My doctor insists on having me come in every month to refill the rx.

Is this normal? I’m curious if this is a doctor policy, practice policy, state policy, etc.

It is a very much a hassle to drive out there, sit around, and then pay the copay every single month (maybe for the rest of my life!) I know others with other types of controlled substance rx only have to go in annually or bi-annually.

I’m willing to switch doctors, but unsure if this would be the norm everywhere.

Thank you!

Hi everyone! I’ve always struggled with over-eating and constantly thinking and craving food. I started 37.5 mg of Phentermine 3 days ago and oh MY!!! My appetite is basically nonexistent and I don’t think about food 24/7. I can’t tell you how much of a relief it is to not always be craving and day dreaming about food. I also have much more energy and feel amazing! I almost started crying today because of how much better I am feeling. My doctor said even though it is for short-term use, there is a good possibility I could take it for up to a year. I can’t believe I may actually be at my goal weight eventually. BEST DECISION EVER!

i’m 24 f and weigh 136, i used phentermine for 3 months and stopped taking it back in october. i feel like im falling back into bad food habits and have been considering taking it again. im just worried that my doctor wont allow me to.
does anyone think that my doctor would say no or have any feedback😬😬 thank you:)

Hello phentermine community 🫶

I need advice, maybe specifically those on phentermine and Wellbutrin.

So, in February 2024 I started my weightloss journey at 275lbs (5’0 female and 18 at the time). Growing up weight was always a struggle due to poor mental health and binge eating. I mean, I’d lie about if I ate before dinner so I could have a second dinner. I’ve eaten so much to the point of throwing up, just because i genuinely couldn’t stop myself.

By July of 2025 I was just getting to the 200lb mark. I got with my primary doctor and she had me try phentermine and Wellbutrin.

Found out in November 2025 I have a bad vitamin B12 and D deficiency, so I also began taking vitamins.

In January of 2026 I went from 15mg to 30mg of phentermine since I felt the effects wearing off, but not to the point of binge eating and stuff. I was scared of having all the food noises back so I didn’t really give it time to fully wear off.

Now, may 2026 I’m starting to feel that wear off again.

I want to say that this Wellbutrin has CHANGED MY LIFE! I don’t want to k-word myself just bc I need to wake up or fold laundry 🤣

Regardless, I can’t tell if the phentermine has already been worn off or not, because with the Wellbutrin maybe the lack of depression and the fact it helps with binge eating disorder is very helpful. I’m too scared to test it by stopping phentermine due to food noise, but I know I need to stop soon anyways (I’m at 138lbs now, which is close to my goal.)

My doctor said when I am done taking phentermine, she will prescribe me a med (can’t remember the name) that helps with ADHD and binge eating. She said it’ll help with the food noise without the intense effects phentermine has on appetite suppressing overall.

Any advice??? I’m not sure if my experience/situation is too niche to hear similar things.

Hi guys. I’ve been on phentermine for about 4 months now. lost over 40 lbs and am very happy with the medication overall. however, every time i go to the doctor now, my blood pressure is extremely high. at first i thought maybe i was nervous about being at the doctor, but upon checking my blood pressure outside of the doctor i noticed it was still very high. both numbers in the triple digits. i’ve had extremely healthy blood pressure all my life until now. i’m 22f and currently 195 lbs and even at my heaviest (231) my blood pressure was extremely healthy/normal. has anyone else experienced this? and if so, what do you do about it? i’d hate to stop taking it this early. i’ve made so much progress already.

My Dr told me she wants me to be on either phentermine or topamax for the next year or so for maintenance. I’m wondering what the better option would be to help me continue to lose weight bc I’m not exactly where I want to be, I’m about 10lbs out. The phentermine has been causing crazy hair loss & I also sometimes get headaches. But I love that it helps me get things done. Idrk what the topamax helps out with tbh lol. My cravings are definitely curved but I’m wondering if that’s bc they’re working together or can one or the other suppress my appetite just as well as it has been?

Hi All!
For context I am a 25 year old female with a desk job. My initial starting weight was 190 in January 2025, by October 2025 I was 164 pounds and now I am weighing in at 150, however I have been stuck in this weight despite calorie deficit. Does anyone have any tips on getting the weight to move? I am on Wellbutrin 300XL, and Doxycycline twice a day but I can’t get the sugar or fast food craving out of my mind! My doctor has recommended I get 10k steps in a day but a desk job doesn’t help very much, and I get home to cook dinner and lunch for the next day, please give me some tips or advice.

For reference-
I am 5”0, 150 pounds at a calorie deficit of 1,300.