"update! i started contrave on 12/6/15 at 5&#039;2&quot; and 166lbs. as of 1/17/16 i&#039;m down 15lbs. i&#039;m on 1400 calories or less a day and exercise for about 20-30 minutes 2-3 times per week (if i&#039;m lucky!). i&#039;m a nurse so i regularly get at least 8-10k steps i per shift, so that may be a plus for me. the nausea and constipation have gone away, but when i tried to go up to 4 pills, the nausea and headaches came back with a vengeance, so i&#039;ve been taking 3 pills and steadily losing weight so i&#039;m not concerned about titrating up to 4 pills. don&#039;t give up -- your body needs time to adjust. it is not a miracle pill - you have to make an effort and lifestyle change if you want this medication to help with your weight loss."