"i have been using this combination, first as qysmia, ($150/month) then as a phentermine/topamax ($34/month) prescribed separately by my dr. along with weight watchers and this combination works great!  it totally has me not thinking about food all the time, especially when i&#039;m bored.  my mind used to think about what to eat next, or what would taste good, so i snacked all the time, with the meds it really has me not thinking those thoughts.  i still feel hungry when i&#039;m hungry, but not in between meals.  plus ww helps with portion control, so i can still eat the foods i want and not feel deprived of pizza (my favorite) which i eat every week.  i do recommend this weight loss regimen.  so far i&#039;ve lost 25 pounds over 3 months."