Bupropion / naltrexone
"I've been on Contrave since 12/2016.  Began three days after Christmas.  I was 250 lbs.  I lost thirty & down to 220 in three months (80 carbs a day) & maintained until (chocolate season of Easter), but now I am up to 230.  I don't feel the medication is working anymore- at all.  However, the doctor has scared me into believing I will gain back the other 20 if I go off of it.  I'm a sugar addict.   Plain and simple.  It's like crack cocaine.  Tried telling the doctor this who wanted me to try CBT.  Yeah, no.  I don't need any armchair psychoanalyst telling me that "Hey, you really crave sugar."  I get about 15,000 steps in a day, but it doesn't help.  I want to lose another 50 pounds, but it's clear that this medication won't be part of it."