"43 yr female. 5&#039;5&quot; 238 lbs. taking qysmia since dec 23rd.  started low dose (free ones).  down 6 lbs. have been eating nothing but snack foods. not really hungry, but my mind keep telling me to snack.  extremely thirsty.  soda tastes gross.  which i expected because i used to take topamax for migraines a few yrs ago. i drink tons of water. little emotional.  extreme tiredness midday-early evening then a burst of awakeness toward late night.  maybe has something to do with when i take the meds. none of the side effects are too concerning to me.  can&#039;t wait to actually start eating healthier at home so i can do some serious weight loss.  the con to me is the cost.  "