"started at 243lb, i am down to 226lb.  started about 5 weeks ago.  so i was finally on 4 pills a day until the 5th week but i had two days of extreme stomach ache.  i came down to 3 pills, 2 in morning and 1 at night. the weight has steadily declined about 2 to 3 pounds a week.  truly glad i started the medication.  i have had some of the side effects. the nausea, i use peppermint or gum to overcome. constipation and dry mouth, i drink more water.  i do get a jittery feeling but it does  go away.  no issues with sleep. take b12 pills for energy.  so far so good.  but i am glad it is working. it was $227 under insurance but the coupon dropped it down to $99."