"crazy start during 1st of holidays (oct.) but had upper endoscopy done to help with some constriction. the extra weight was affecting my health and wellbeing so i did not want to wait to start. my doc had a trial kit to start with then i got my first month&#039;s prescription. used insurance to absorb part of the cost and the coupon that was given by the manufacturer.  dubious &amp; nervous of injections, i pushed forward as possibility of better health was worth the anxiety of sticking myself. needles are tiny &amp; you inject into the fatty areas so you don&#039;t really feel it while sticking. there can be achiness or stinging in the injection site sometimes. started having rash &amp; itching at some shot sites but have lost 8 lbs. &amp; feel like exercising now."