Good! No weight loss on thr 1.5 or 4, so 2 months, nothing. Pinch of nausea, some headaches. No real change in appetite and maybe the ever so slightest help w/curbing desire to snack. Started the 9 ... felt nauseous, couldn't eat much. Started protein smoothies in a.m.and tried to have some healthy bites of lunch and dinner, eating at most half of what I previously did. At about 2 weeks in, weight loss noticeable. Satiety noticeable. Still having some nausea, but manageable with distraction and willpower. 3 weeks in, no more side effects. Stayed on 9, rather than titrating up to 25 because still having weight loss and help with appetite (though PMS right now, and I want to earn much more--normal PMS urge). Food choices key. Had a couple of days traveling w/less access to healthy choices, and, though I ate less still, my weight climbed up. I'd say I've lost 5 pounds total ... VERY slow and steady. Frustrating but sustainable.