"i&#039;m a nurse and know all about package inserts explaining side effects but man they weren&#039;t kidding. i was started about 3 weeks ago by my doctor who said i needed to lose a bunch of weight. i expected some stomach upset but not like this. now i understand why the slow titration to higher more effective dosing. i can&#039;t bear the side effects. i cannot work with stomach upset all day and need to rest at night. back to diet and exercise for me. this is just not right."