"i am giving the med a 9 for now- i just started yesterday- i am very excited and hopeful that this will be the drug to help get me over my weight gain- i am also eating a reduced calorie diet and working out to get my 10k steps in a day- i am hoping all combined will create over a 40lb loss- i started at my dr. with clothes at 187- horrifying- i am 5&#039;5- 47 years old and have never weighed anywhere near this in my life- i am really bummed that i let myself get like this- i am down to 184 this morning- no clothes- and expecting the first 10lbs to drop quickly- i have  a trip in 7 weeks and i am hoping to be down 20 lbs by then- then another 20 by my next trip in july- i would like to get down to 138-142 and stay there- my insurance covers!"