"i have lost 34 pounds since june 10 (almost 14 weeks). on the 7.5 mg level i suffered many of the side effects. my doctor suggested i go back to the beginning dosage of 3.75 mg and i feel so much better. the mental fog, insomnia and chronic constipation and headache are gone. i am still losing 1-2 pounds a week. my appetite is under control and sweets hold little appeal. i still recognize an emotional longing to eat when i am stressed or in the evening when watching t.v. "