"i started saxenda in june 2017. i&#039;ve lost 40 lbs. since i started. i also combined it with the ketogenic diet. the first month i felt nauseous and no appetite. it made me dizzy not eating. so, i forced myself to eat high fat low carb foods and man it helped. it&#039;s amazing what an avocado a day can do for you. i am now trying to incorporate a regular (portion controlled) diet into my life. it&#039;s a lot harder than you think after limiting carbs for a few months. i have about 30 more lbs to lose before my goal weight. i started at 5&#039;6 213lbs. size 14. i weigh 175 now and a size 10. i&#039;m at that point were i&#039;m fearful it&#039;s going to stop working - i hope not but we will see. one more thing... my insurance through work pays 100% for this medication."