Okay, so the before and after pics aren't my best look, but hey, it's real life. Six months ago I was sitting at 230, and now I'm chilling at 190. Still got around 50 to go! Started with 0.25mg for a month, then 0.5mg for a couple, and now 1.0mg for the past three. Haven't gone up to the max dose yet because my doc wants to take it slow. Honestly, I'm loving this gradual thing. No crazy weight loss, but zero nasty side effects. No hair falling out, skin still looks good, and I'm not exhausted all the time, which were my biggest worries.