4 months on topiramate update

i’m 4 months into topiramate 50mg now and i’ve seen my migraine days drop from 15-18 to 8-10. that’s huge for me.

but the cognitive side effects are still a struggle. i’m thinking through mud and losing words mid-sentence at work.

not sure yet if it’s worth it. anyone else experience this?

a drop from 15-18 to 8-10 migraine days is a win, but “losing words mid-sentence at work” sounds like a dealbreaker. my own neuro always says if the treatment makes it

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weighing cognitive burden against migraine reduction is the hard choice. 📊

what do your coworkers say when you’re losing words mid-sentence? that’s the part i’d worry about.