januvia has helped bring my sugar down and my weight, but the problems i have been experiencing are constipation, the podiatrist told me i had slight neuropathy, my joints in my feet would swell and i stay buying alka seltzer and Tylenol pain pm. i do at times get high anxiety which he gave me the generic xanax for and that does help a lot. so my stress is better, but really has helped me is eating special k cereal in the morning and drinking lots of water and eating 3 meals a day. - J., Texas