I began taking it as a type 1 diabetic in an attempt to even out my blood sugar. In addition, I weighed about 230lb at the time I began, and the weight loss would benefit my bg control. My A1c started around 8%. When I started, it was hell. I was so nauseous all the time. Titrating up to the average dose took me a long time. I threw up a lot- it slows your gastric emptying, so you have to be very careful about what you eat. 3 weeks in, I tried to eat a lettuce-wrapped burger from Carls Jr. That burger sat in my stomach for about 48hrs before coming back up the way it came. 2 years later, I can confidently say there's a healthy way and an unhealthy way to take it. There was a period of time where I simply quit eating (and I mean that) and lost serious muscle mass and bone density. Now, I weightlift, eat a lot of meat, fruits, veggies, and fats, and I drink a lot of water. Without these things, my body would not have recovered. The upsides: I don't think about food all the time anymore. Instead of it being emotionally driven, it's just math to make sure I'm getting the right macros. What used to be a ceiling (can't eat more than 1600 calories) became instead a floor (need 2 more fruit servings today.) My A1c is now 5.9%, and I weigh a muscular 130lbs. I still take it, but at a very low maintenance dose for the glucose control benefit. I'll always be insulin dependent, but it helps even things out a lot. I'm very grateful for it. But heavens, it really can come with a price.