"i have been on this for 4 months initially for weight loss to reduce blood sugar. i have lost 40 pounds and 4 inches of waist.  the scale down program is amazing and frankly i would make any co pay to get this result rather than take diabetes meds. i am wearing clothing i haven&#039;t worn in over 10 years. my only side affect is constipation which is slowly subsiding and hot flashes/sweating so i walk around with hankies.  on the whole this drug is amazing. i am more active and focused and less moody too."