"update from &quot;chickadee&quot;- been on med for five weeks, down ten lbs without exercising. my eating habits have been better although this week they changed considerably for about four days, i ate a whole lot of rubbish but still managed to lose two pounds. i&#039;ve been consistently losing two lbs a week and weigh myself every monday. still taking 50 mg at night..only noticeable side effects now are tingling in feet and hands intermittently, and fatigue at times otherwise nothing noticeable.  i am thinking about increasing dosage. i would like to see quicker results but maybe i&#039;m just being greedy. two lbs a week is a safe, maintainable weight loss. hope it keeps up. currently at 230#"