Roughly seventeen days into this and honestly the monthly fee structure plus separate medication cost were explained clearly upfront. It's pricey, the membership does bump up in month two, buried in the fine print, and yes, they'll definitely push protein drinks and bars at you. A tradeoff I'm okay budgeting around. Currently on a moderate pill dose of the oral option, every other day. Some mild morning nausea and a few other side effects right at the start, though things are easing. Already five pounds down from a starting weight around 150. Genuinely surprised how well it's quieting food noise and curbing appetite at such a low pill amount. Their support staff responds reasonably fast, within a few hours, and gives solid guidance on managing side effects. One odd glitch though, I keep getting prompted to complete a monthly evaluation daily, definitely a bug on their end.