"i&#039;ve been on contrave since 12/2016.  began three days after christmas.  i was 250 lbs.  i lost thirty &amp; down to 220 in three months (80 carbs a day) &amp; maintained until (chocolate season of easter), but now i am up to 230.  i don&#039;t feel the medication is working anymore- at all.  however, the doctor has scared me into believing i will gain back the other 20 if i go off of it.  i&#039;m a sugar addict.   plain and simple.  it&#039;s like crack cocaine.  tried telling the doctor this who wanted me to try cbt.  yeah, no.  i don&#039;t need any armchair psychoanalyst telling me that &quot;hey, you really crave sugar.&quot;  i get about 15,000 steps in a day, but it doesn&#039;t help.  i want to lose another 50 pounds, but it&#039;s clear that this medication won&#039;t be part of it."