"i have been on this pill for over 5 years. the first ~6 months were difficult (i had to take it with food or i&#039;d get nauseous, certain times of the cycle it made me extremely tired, moody, etc). the longer i stayed on it, the more those symptoms subsided- so i encourage anyone struggling with it to hold out because it will likely improve. i also learned that you have to take it at the exact same time every day or the side effects are worse. the past few years i have had no problems with it at all."