"i am absolutely thrilled with the results i have had so far. been taking qsymia for 49 days and have lost 20 pounds. i have also been following a 1500 calorie diet and getting moderate exercise 3 to 4 times a week for about 30 minutes each time. i know the medication has assisted me to stay within my daily calorie intake. i did have some side effects in the beginning that dissipated. this included lethargy and difficulty concentrating. started at 238lbs now at 218 just 58 more pounds to go."