dropped 135 pounds over roughly 20 months. biggest dietary shift was simply eating a lot less overall, cutting the habit of donuts several mornings a week, and staying aware of what i'm putting in my mouth. i'm an incredibly picky eater, honestly my niece once said i eat like a six year old, i'd happily survive on cheeseburgers alone. the real change was swapping fast food burgers for a proper one at a sit down place whenever the craving hits, instead of a drive through like before, haven't set foot in a fast food spot in ages. also picked up a gym membership and genuinely enjoy the sessions, something i started once already down around 50 pounds. this medication isn't some magic pill that melts weight away on its own, it just sets the stage that makes succeeding possible. good luck!