Aggrivated with Palpademia

So about 2 years or so ago I was diagnosed with palpademia. I have had the spinal tap, which sucks. Plan on laying in bed for about 5 days after, cause the headache that came with mine was horrible.. I tried to go to work.. which didn't work. My husband and I do not have any children. I am 33 and yep, the biological clock is ticking.. more like dwindling. My opti neurologist, has the personality of a brick wall and offers no support besides lose weight. I am sorry have been battling my weight my entire life. At my highest I was 314 lbs. I have been a yo yo dieter.. lost and gained.. but for the past 6 or 7 years prior have been heavy.. Since the diagnosis, I have been tracking everything with my fitness pal.. i eat what I want but in portion control. but it is slow...I have managed to loose 30 lbs and keep it off, but seem to be stuck at @ 290. I take 75mg. of topomax, and well with the drugs they use to treat this illness I find I may never be able to have a child!  Is anyone else suffering or dealing with this issue? I almost think if i bust my rear and really really stick to a strict healthy food diet and excersize maybe if I get enough weight off maybe I could come off the meds in the next year?