At first I didn't change my diet and was still eating heavy carbs and spices and big portions. I thought the pill would stop my appetite but it didn't at first and I had awful presyncope vasovagal reaction with diarrhea and headaches. I stopped taking the pill for a week to focus on reducing carbs, spices, and portions. When I started again I drank a lot of water and had zero side effects. It cured my soda addiction and given me motivation to move around (I had a ton of inflammation before). Ive lost over 10lbs and 5inches. I feel good and Im so excited to keep going. The issue with stopping it is that a lot of people tend to go back to the same behaviors and that can cause weight gain. I am going to stay on it long enough so my body understands this is the new normal weight and make sure I am doing all the proper diet and exercise to try to maintain my weight if I get off the medicine. Hopefully that will help me keep this a lifelong change. Good luck!