"32 y.o. female who excerises, but due endocrine issues severely struggles with weight loss. my endocrinologist put me on this 4-weeks ago. i have lost 17 lbs, some of it is water weight. but, absolutely thrilled with how this is working. first, 2-weeks i had fairly moderate nausea, burping and acid reflex. the adverse side effects have mostly subsided. now, i rarely am hungry. the thought of food is not very appealing. i can only eat 1 or 2 small meals a day. if i eat more than usual  i get a severe full feeling and stomach upset. i plan on staying on it for at least a year for hopes of significant weight loss! i tried to increase the dose to 2.4, but ended up with severe acid reflex. i titrated back to 1.8 and no issues."