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Hi!   If you are 118lbs and you are 5'8, then your BMI is 17.9 - which is underweight. 82 BMI is very, very high meaning overweight, unless you ment 8.2?   If you are losing a lot of weight on Topamax, then your doctor should be monitering you, which it sounds like they are trying to do now, with having you watch your weight.   Can you drink protein shakes or something to try and keep weight on without it being unhealthy foods?   For being 5'8, if you have a medium bone structure, your weight should be somewhere around 140lbs. or so, give or take. I know because I'm 5'8 with medium bone structure. If I drop below 135 I look sick.   Please talk to your doctor about this, maybe he/she can change your medication to something else, or add another medication that will counter act the weight loss effect of the topamax.   How has the Topamax been working for your migraines? That's something to question too.   Good luck to you!