"update : i have been on contrave  for a little over two months. all of my weight loss happened at the beginning. i have lost 18 pounds total. however, nothing in the past 30 days. i am on 4 pills a day. no side effects other then constipation. otc meds will help with that. i am a smoker &amp; contrave has done more for smoking i think. i could careless if i had a cigarette or not. that is amazing.  it is not a mircle worker for food cravings. at 4 pills a day i can still eat chocolate / icecream like there is no tomorrow. i feel that my cravings for carbs have gone through the roof.  i was a recreational drinker, now have 0 desire to even take one sip. i suppose there are ups and downs for everyone. it works if you work it."