"if you take this medication and do a complete diet change and add exercise it makes a lot of difference. the first month, i only used the pills and changed my diet. my killers were the cheesecakes, apple pies and lots of bread. i completely cut all of these out of my diet. about a month ago i joined the ymca and now it has become an obsession. i got all the symptoms listed above but because i take mine in the morning, i do not get the insomnia. for the constipation, i drink lots of water. i add miralax to a pitcher of water and only drink that and drink green tea. this has helped me combat the constipation. i started mine on 1/11 and i have lost 30lbs and down 2 dress sizes. now i am on 1/2 tablet when needed. i call it my brain programmer."