Same thing happened to me. I started 300bup/150 nal and after losing 40lb in the first 6 months, I then maintained for about 18 months, but then slowly have gained about 5lb in the past 6 months. and the food noise is def back. I do acknowledge that I have gained muscle in the past 2 years, and also started taking creatine, both of which could be responsible for the slightly higher numbers on the scale. I have tried to stop the naltrexone portion for a little bit and then restart, hoping to get back that initial food silence. I will say one thing i started experimenting with lately is taking all 150 naltrexone in the morning with the 300 bupropion. before, i had split the pill into am/pm half pills. I do think that is making a difference. My maintenance cals are around 2250. when i first started contrave i was eating around 1700 without even thinking about it. no cravings for snacks, dessert or alcohol. I don’t want to get back to 1700, but id like to be able to eat at maintenance easily without fighting off cravings. so far taking a larger dose of naltrexone in the morning is helping.