"started june 2015. began highest dose january 2017. i&#039;ve lost 60 pounds altogether so far. still have 60 to go. slow and steady wins the race. you have to put effort into this with diet mostly. i didn&#039;t exercise much the first year until i got some weight off, now i do exercise almost everyday because it feels good to do so. those reviews you see of people not having appetite suppression in the first few days, well, that&#039;s not how the pill works, you are on a trial dose for two weeks, to see how your body adjusts to the medication. 

  i have great appetite suppression at the beginning of starting a new dose, then it wears off after a couple months, you can increase doses when you stop loosing weight.  it&#039;s approved for lifelong maintenance."