"i am starting my second trial week on qsymia.  i have lost 3 pounds this week...was hoping for more, but i&#039;ll take it.  my only complaints are feeling extremely tired.  i am just wiped out.  i am having trouble sleeping at night, but the pills alone just make me feel completely, exhausted.  i don&#039;t feel overly thirsty, and the first few days i felt very hungry, however my appetite has decreased over the course of the week.  if only the exhaustion would go away...that is my main concern."