"1 month mark and 19 lbs down. it is working. contrave costs $70 with their discount code. insurance does not cover it. sign up with conrave online and use free &quot;scaledown&quot; membership.  scaledown will send you a free digital scale that sends weight results wirelessly to program. then you track your progress online or by mobile. using both i have lost just under a pound every day. regarding the side effects. constipation. if you already are someone with constipation problem it won&#039;t make it any better. increase the leafy greens. i lost my habitual need for coffee, iced coffee, other sweet/savory cravings. it just disappeared. overeating now results in intestinal cramping probably because of smaller stomach. protein and veg is helping to lose."