Contrave
"I am 47, 5'11" male with a BMI of 40.  I was considering bariatric surgery but decided to try Contrave first.  My starting weight was 287.  I'm now in week 3 of taking Contrave.  The first two weeks were fine, no side effects, and I noticed that my appetite was diminished.  I lost about 7 pounds.  Now, at the start of week 3, I went up to 3 pills/day, and the nausea hit big time.  I'll push through it, and try to space out taking the pills during the day.  



So the jury is still out.  Will check back in after the end of week 4."