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10.1177/0009922814542481

http://scihub22266oqcxt.onion/10.1177/0009922814542481
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C5958908!5958908!25027265
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suck abstract from ncbi


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pmid25027265      Clin+Pediatr+(Phila) 2015 ; 54 (1): 19-24
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  • Topiramate for Weight Reduction in Adolescents with Severe Obesity #MMPMID25027265
  • Fox CK; Marlatt KL; Rudser KD; Kelly AS
  • Clin Pediatr (Phila) 2015[Jan]; 54 (1): 19-24 PMID25027265show ga
  • Background: Medications for use as an adjunct to lifestyle modification (LSM) for severe adolescent obesity are limited. Topiramate results in weight reduction in adults with obesity, but has not been studied in adolescents. Objective: To examine the effect of topiramate plus LSM on BMI reduction in adolescents with severe obesity. Methods: Data for this retrospective chart review were collected from patients attending a pediatric weight management program who were treated with LSM plus topiramate for 3 months minimum. Mean BMI percent change from baseline was evaluated using t-tests. Results: Twenty-eight patients (mean age 15.2±2.5 years, mean baseline BMI 46.2±10.3 kg/m2) were identified for inclusion. The 6-month percent change in BMI was ?4.9, 95% CI (?7.1, ?2.8), p <0.001. Conclusions: Topiramate with concurrent LSM was associated with clinically-meaningful BMI reduction in adolescents with severe obesity. Randomized controlled clinical trials examining efficacy and safety of topiramate for severe obesity in adolescents are needed.
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