"i&#039;ve been on this medication for 3 and a 1/2 weeks. i started at 309 lbs and today i&#039;m at 295.4, so as of today i&#039;ve dropped 13 pounds. i have drastically changed my diet to about 600 calories during the work day and up to 1000 at night.  it may sound weird but i&#039;m a construction foreman and stay very busy and therefore can eat low cal snacks and a simple lunch and be fine. i also do a lot of walking around and going up stairs. (100 at a time). i also take plenty of fiber every night.  without the medication i was constantly hungry and sustaining my weight (not burning fat). as far as taking 4 pills a day i&#039;ve taken ssri&#039;s for years, nuff said."