"i am on my 4th week...i do have pretty bad diarrhea, i think because i am taking 4 pills a day now. i have mild nausea, hot flashes but no trouble sleeping but do have dry mouth. i went from 246 down to 233 so far,  i can&#039;t wait to see how much weight i can lose!  i am not hungry in between meals and do not have any cravings, will up date in a month...good luck to you!"