"i have now been on this med almost a month now i am down to 218 pounds which i have lost a little over 10 pounds since starting and i am feeling great. i do get the tingling in the lips and i already got it in my feet and hands before but it is not biggie. i hardly ever sleep anyway so that doesn&#039;t bother me much but it does curb my appetite pretty well and i am loving the progress i am making!"