"since pre-menopause/menopause began, i&#039;ve been gaining 3-5 pounds a year over the last ten years and was 193 lbs on my last doctor visit. doctor recommended qsymia as a way to jump start weight loss and motivate me to make lifestyle changes. she recommended no more than 1200 calories a day. i was told to avoid caffeine because of potential stimulant effect of q. wrong! i got the drowsiness side effect the first day. after that, i&#039;ve kept to my 1-2 cups of coffee and i&#039;ve done fine. i fall asleep no problem, but i do find that i wake up a few times during the night--but that can also be attributed to my pets and needing to urinate from all the extra water i&#039;m drinking. my scale arrives tomorrow so i can track weight loss."