"i&#039;m kaylyn. 24. starting weight 187lbs. 4 weeks on contrave. some of the side effects i have experience: some constipation, nausea- particularly in the am &amp; when i&#039;m getting hungry, recently started having the dry mouth and my taste buds have changed, some dizziness in the am.  usually once i eat something nausea goes away, appetite has decreased sometimes i don&#039;t want to eat.  wk 3 i went to my dr &amp; had lost 3lbs. i also work out everyday. i feel like i&#039;m thining out but i try to stay off the scale. yesterday,  i bought a smaller size in pants at old navy than i usually wear so that&#039;s a plus. i would recommend this if you can push through the side effects. i have titrated all the way up to 2 twice a day also."