insulin resistance syndrome
"When I first started taking this medication, it was horrible. I had extreme fatigue, stomach cramping, abnormal bowel movements, and even threw up blood a few times. Despite all of this, I lowered my dosage but stayed on the medication and I've never felt better. After around 3 weeks of that, I started feeling normal and dropping weight.  I'm down 25lbs combined with only a healthy diet. It suppresses my appetite, but not enough to cause any harm. I am on 500mg 2x a day. Give the medication a chance a lot of people have to take it for a couple months for it to work properly."