"i have been in peri-menopause and now menopause for 9 years.  i did the average gain of 1-2 pounds per year. started 186lb in january lost 9lb on own, hit a plateau.  doc put me on qysemia.  i lost 14 pounds in 3 months, and stopped, as my doctor didn&#039;t want me below 160 (5&#039;8&quot; tall, 53 years old)  for my size, he said i looked good and didn&#039;t want me obsessing about weight.  my goal was health and strength.  i work out 30-40 minutes a day.  had all usual side effects, hand tingling, dry month, constipation, which cleared when i stopped.  i weigh myself weekly and if i stay within 3 pounds of my goal, i don&#039;t worry.  i still watch what i eat.  i found it easy to make good choices while on medication, as i wasn&#039;t hungry and sweets tasted off."