Problem: Article: Topamax is only available by prescription, so your doctor must agree to give it to you. When you make the appointment, tell your doctor that you would like to discuss losing weight. Topamax is generally prescribed off-label to treat obesity, especially for people with eating disorders like binge eating and bulimia nervosa. That said, Topamax is not used as a first-line treatment. Tell your doctor about your history of weight loss. Let them know what other treatments you have tried as well as what has and has not worked for you in the past.  Because the side effects can be very serious, you should not take Topamax if you are only looking to shed a few pounds or if you are not seriously struggling with weight loss. There are other, safer options for weight loss. Talk to your doctor for more information. Off-label means that Topamax has not been officially approved as a weight loss drug, but some doctors may still prescribe it to treat the condition. Topamax can worsen some medical conditions. Furthermore, you should not start taking Topamax if you are currently pregnant, as it could cause birth defects. To make sure that Topamax is safe, tell your doctor if you currently have or have a history of:  Eye problems such as glaucoma Diabetes Metabolic acidosis (high levels of acid in the blood) Liver disease Kidney Osteoporosis or other bone conditions Depression, anxiety, or other mood disorders Topamax can decrease the effectiveness of birth control. It may also cause harmful side effects if used in combination with a wide range of medications, including lithium, Xanax, Ambien, and Zyrtec. Let your doctor know about all medications (including over-the-counter medications) you are taking. Since Topamax is not labeled to be used for weight loss, your doctor may not agree to prescribe you the medication. In this case, listen to your doctor’s advice. If they prescribe you a different medication, take it according to their instructions.  Your doctor may prescribe you a pill called Qsymia instead. This contains topiramate, which is the same active ingredient as in Topamax. Unlike Topamax, Qsymia is labeled to be used for weight loss. Your doctor may give you a combination of phentermine and Topamax. Follow your doctor’s instructions to take both of these pills together.  Do not shop around for a doctor who will prescribe you Topamax. There are many other treatments for weight loss and eating disorders, such as cognitive behavioral therapy,  selective serotonin reuptake inhibitor (SSRI) antidepressants, and low-calorie diets.
Summary: Make an appointment with your doctor. Describe your history of obesity and/or eating disorders. Inform your doctor about any other conditions you have. Tell your doctor what other medications you are taking. Let your doctor determine if Topamax is right for you.

Problem: Article: Using the thumb of your free hand, press into the gap created by the inner bend of the second knuckles. This test can help you determine how tight your fist currently is.  Make sure that you use the thumb and not the thumbnail. You should be unable to press into the gap with your thumb, but the effort should not cause any pain.  If you can break into the fist gap with your thumb, the fist is too loose. If pressing the fist causes considerable pain, the fist is too tight. A second test you can use to gauge the tightness of your fist requires you to gradually squeeze your fist tighter and tighter. Use this test to give yourself an idea of how a properly formed fist should feel.  Make a fist and place your thumb against the knuckles of your index and middle fingers. Squeeze your fist a little. The first two knuckles should tighten against each other, but the fist should still feel somewhat loose. This is the tightest your fist should feel as you strike with it. Continue squeezing your fist until the thumb reaches the knuckle of your ring finger. You should feel the first knuckle of your index finger weaken, and your little finger will squeeze inward in a manner that causes the knuckle to collapse inward. At this point, the structure of your fist is too distorted to be effective or safe to use while striking.
Summary: Press into the gap. Slowly squeeze the fist.

Problem: Article: Then, you can justify the reasons for which you strive to make this social gathering.    Make known the name of the person who directs and promotes the gathering organization. Make a brief account of the subject matter.
Summary: Define, first of all, the main purpose of your actions.

Problem: Article: The sun is strongest during the hours of 10:00 AM and 4:00 PM. If you can avoid spending extending periods of time in the sun between these hours, do it. Go outdoors in the early mornings or in the late afternoon/evening. You still need to protect your skin from the sun during the early morning and evening, but you’ll be less likely to get burned by the most powerful rays. When you’re outside, always be in the shade when possible. This is particularly crucial during the peak hours when the sun is most dangerous. If you’re at an outdoor restaurant, request a table in the shade. Sit under a tree, enjoy the beach under a canopy, and keep making sure that you’re fully covered by shade. Sitting in direct sunlight without sunscreen is dangerous, even if you aren’t getting a visible burn. If you are going to be outdoors, do whatever you can to be out of the most powerful rays. In an ideal world, everyone would don sun safe clothing daily, shade would be readily available, and it would be possible to always stay indoors during the sun’s peak hours. Of course, that’s not always possible. It’s useful to keep a UV protection umbrella with you whenever possible, whether that’s in your car, your purse, or stashed in your office.  The UPF (or the Ultraviolet Protection Factor) will be listed on the umbrella. Choose one with a UPF of 50 or more. These travel sun umbrellas can be purchased on Amazon, or at most stores that sell outdoor equipment and sun safe clothing.
Summary:
Stay indoors during the sunniest hours. Find shade. Keep an umbrella handy.