"i am a 57 year old woman, 5&#039; 6&quot; and weighed in @ 234.6 lbs.  i started with the lower dose as recommended by my doctor on july 14, 2014 and it is now two-weeks later and i have lost 7 lbs.  i have been steadily gaining weight over the past 20 years but in particular the past 7 years.  this medication seems to be helping.  i will admit that the very first day i questioned whether i could continue taking this because i was so drowsy i could barely function at work.  however, each day got better and by the 4th day i did not feel any effects at all. i have now moved onto the stronger dosage.  i have also not experienced the constipation that many have complained about here on this commentary.  i am hoping for good results as time goes by."