"so i was 290 when starting this about 4 weeks later and have lost 20 pounds. everybody is different, i was fine first week then when increased to 1.2 was very nauseous and absolutely no appetite. when increased to 1.8 i could not handle was continuously vomiting so went back down to 1.2 for now. still appetite is nonexistent and have to eat very small &quot;meals&quot;. it is basically trial by error, you have to see which foods your body can tolerate while on this med. i am happy so far with results as i feel this is exactly what i need to get out of some unhealthy eating habits."