Phenteemine + Topiramate is combination medication sometime prescribed for obesity.
But it is not suitable everyone .
It can be safe when under medical supervision
Tried diet + exercise for several months without results
No history of heart disease, high BP , glucoma, mental health conditions
Other side effects
Anxiety, irritation, sleep disturbances, tingling sensation, dry mouth, increased heart rate , mood swings
My honest recommendation:
As your young, this medication is help but
1. Only take it under strict care of endocrinologist or obesity specialist
2. Try natural weight loss for 3-6 months first ; diet , exercise, sleep and hormones check up
3. Rule out PCOS , hypothyroidism, insulin resistance and
B12 and D3 deficiency.