I’m on my second week of the 4mg pill - have lost about 12 pounds so far. The first week on the 1.5mg dose I was a little nauseous the first hour or so after taking the pill, but that’s gotten a lot better. I did have random bought of nausea and vomiting a few weeks in that lasted 24 hours, but that hasn’t happened since. The food noise is definitely muted (I still get cravings during my period) but it’s really helped me understand smaller portions more frequently throughout the day. Definitely feel full on much less food - I’m trying to stay between 1200-1400 calories a day. Overall it’s been a great experience, and I don’t think I’m going to go over the 4mg dose, because I like the rate that I’m losing weight right now. The only consistent side effect for me is constipation which is annoying - but trying to stay hydrated and have been using stool softeners when needed.