"i practically had to beg my local physician to put me on this medication.  oddly enough, he had never heard of it and had never prescribed it.  i was 160 pounds, 5&#039;5&quot;, with high blood pressure.  the high blood pressure qualified me as a candidate for qysmia, since i was not obese.  the cost of the medication is not cheap, and is not covered by insurance.  the first few days on the introductory dose i gained about a pound and was so sleepy i thought i had been given sleeping pills. but, then, i seemed to hit some kind of stride, because the weight started dropping at the rate of a pound a day. i can&#039;t look at bread without getting the urge to vomit. anything with sugar tastes like metal.  in the morning, i drink a big cup of coffee."