"2nd update: 7m 10d &amp; i am still very happy with this med. down 31lbs so far: started at 229lbs/36.4bmi; today at 198lbs/31.5bmi; goal is 156lbs/24.8bmi - just to get out of the &ldquo;obese&rdquo; range. i was inconsistent for a while (no pills while away on a 3wk vacay &amp; only 2pills/day for a few months) &amp; didn&rsquo;t see any side effects or weight gain, just plateaued, which is good to know for when i go off this med someday. back on the full dose for a few weeks &amp; losing weight again. very easy to skip a meal &amp; hardly notice, which is where the real weight loss comes in. i don&rsquo;t crave the bad foods i used to &amp; don&rsquo;t mindlessly eat. scaledown trial ran out (was able to keep the scale) but after a few months it was only generic info anyway &amp; not worth it."