"i started using this in december, weighing 276lbs.  as of today (105 days later), i weigh 250. i tried losing the weight with inconsistent results for 6 months before that.  the phentermine/topiramate combo helped me keep on track and maintain steady results.  i use it in addition to the workout and nutrition plan i was already keeping.  carbs come from veggies and fruits.  personal side effects: dry mouth and reduced sense of smell (i am always smelling things that others around me do not).  using prescription drug discount cards i&#039;ve been able to bring down the monthly out-of-pocket expense."