"i have been on qysmia as an alternative to weight loss surgery.  it has worked very well for me.  i have lost 95 lbs!  as my weight went down, i increased my activity level and have been making better food choices but the drug has done the heavy lifting in the weight loss. i have had very few side effects.  i had some constipation at the beginning.  i occasionally notice some tingling in my feet at night and i don&#039;t sleep as much as i used to before starting the drug.  i don&#039;t feel tired, i just don&#039;t require as much sleep. i have some hair loss but that is normal with any rapid weight loss. the great part is i have my life back.  i am traveling, enjoying hiking with my husband, and participating in activities i could only watch a year ago."