"it has been about 3 months now since i started taking it and i am down 25lbs. i am at the second dosage and the only side effect i have is constipation but my doctor has given me miralax to help  me with that. in the beginning my lft&#039;s were elevated and this past week for my 3 month check up all my labs are normal. i will continue because i have a long way to go along with my diet and exercise but with my new found motivation i am going to get there."