"i started contrave almost one week ago. weight loss has been about four pounds, but the thing i&#039;m most thankful for is the reduction in the desire to eat. i had several parties to attend this past weekend and previously would have spent a lot of time in my head debating the wine and junk food before ultimately caving in. this time, it wasn&#039;t a hard decision. i didn&#039;t even want any of it. i can&#039;t tell you how relieved i feel not to have every potential meal or snack be a mental battle anymore. that alone is worth it, no matter the weight loss! side effects have been decreased appetite and some lethargy."