I gained 20 lbs and then went on a diet of no sugar, no carbs except vegetables. I take a glass of V8 Juice every afternoon, oatmeal for breakfast and no pasta, bread or anything with flour. Ihave lost 12 lbs in 10 days just watching what I eat and eating 6 small meals a day. Hope this helps. I am on 60 mg since September and it is rough.