I will agree with Shirley up to the high stress levels to lose weight (poor Shirley) but I have found the drug to have too many side effects and the fast feelings patients, I have dealt with, get when on it tend to make them drink more soda and such. I have never much liked the idea of a pill to lose wieght. Those folks I have helped naturally do better for some reason. The first thing to conquer in weight loss is the stress that many times feeds it.