"started ten days ago. first night, i passed out.. very tired... next few days in a deep fog and a bit disconnected. i no longer have those side effects. dr has  me at 50 mg once daily and i take it in the evening. i literally eat half of what i previously did. i lost about three pounds over the course of a week..no excercise involved. im not counting calories; just not interested in junk food. i read a poster on another forum to take extra b complex and biotin to avoid any hair loss as the drug seems to deplete that nutrient in the body. will post again in another few weeks with more information. i was at the point where i was considering surgery because i had tried everything."