"ok here is an update .. i am into the last 2 days of the first 30 days on qsymia 3.75-23mg  i was 233 and now down to 215 i have more energy and did change my eating habits and i am exercising more this medication does curb your appetite and you do not really crave sweets which was a problem for me ..  the dr was excited to see the results i just saw him and i went down 1 point on the bmi scale and he has upped the dose to the next level .. i shall report back to see if there are any side effects with the higher dose ..  in reference to the cost my deductible was up to 200 then after that i pay only my copay which is 50.00 a month there are websites that offer coupons for this med so please do some research like it did i got 2 weeks free"