"i start my fourth week of contrave tomorrow. the 4 a day week. so far i&#039;ve only lost 4-5 pounds, but i&#039;ve lost 3 inches in my waist, 1 inch in my hips and chest. pounds a good but inches are great! as far as side effects go, constipation and mild head/neck ache since starting two in the morning. starting weight 169 at 5&#039;3 and 33 years old. my doctor gave me a discount card for this since insurance didn&#039;t cover it. would&#039;ve been $245 a month now only $90."