I hate admitting this, but eating better actually is helping my pain levels. I have been a sugar and carb fiend all my life. For some reason since I started the topamax I just can't stand the stuff. I can stomach some protein, veggies are fine, soy shakes made with skim milk (believe it or not, ewww I would have thought previously). I am okay with some fruit, but can only finish a little at a time. Maybe I will get over it, but I am eating the "healthiest" (i.e., least sugar and "junk food") of my life. I am so thirsty all the time, I drink water all the time, even keep it by my bed for the middle of the night. Diet coke tastes strange, so I don't drink nearly as much. I am down to 1 1/2 lortab a day from 4 a day on the 5th of this month. I still have pain, and I still have fatigue, but I have an overall sleeker healthier feeling, if that makes any sense at all. I don't know if it does. It's sort of an inner glow. I don't know how else to describe it. I would never have made it to this point without topamax because I have TRIED to eat healthy like this before and could never make it more than a few days in a row without slipping up badly. But I DO feel better without the junk in my body.