"first day today onot 37.5 mg. i&#039;m a 5ft 3in female and have been struggling with weight loss after my divorce which according to my gyn put me into stress related menopause. i read a lot of reviews before starting and was excited and hopeful but also nervous about side effects. today was a good day appetite was definitely suppressed but i did want to eat unlike most of the reviews i read. biggest issue for me is how anxious i feel. i have anxiety and suffer from panic attacks. took my pill at 6:30 am and it&#039;s now 10:45, hearts racing , jaw clenched  tight,i don&#039;t notice until it hurts. this medication is a last resort for me to regain some kind of self confidence. i will continue for the length of my prescription with hope great results."