"i&#039;m 31yr old 5&#039;5&quot; female 254lbs, after having my daughter i haven&#039;t been able to loss the weight. i&#039;m one week into this medication, the first 3 days were ruff, i had bad migraines, neck and back pain. it should be noted i had also stopped drinking caffeine on the same day i started contrave. in the first 3 days i was very tired, groggy and on the 2nd day even in a haze or fog. once i got past the first 4 days i feel pretty good, it has definitely suppressed my hunger and amount i can eat comfortably, i feel full a lot faster. i don&#039;t have the thirst/dry mouth, jaw pain or suicidal thoughts. tomorrow i start with one pill twice a day (i&#039;m on 1 pill once a day) so i&#039;ll see of the increase causes sidea effects and update this review."