"started taking this on monday and my insurance has covered this only $10 copayment and the needles were $30 i&#039;ve already lost about 2 lbs in 4 days nausea is definitely the biggest side effect for me and recently started getting heart burn but it&#039;s worth it.  my appetite has gone down a lot i&#039;m forcing myself to eat small portions through out the day will check back in in a couple weeks"