I started with 2.5 one year ago. Two months later it didn't curb my appetite anymore so they increased it to 5. That lasted 3 months and went up to 7.5 for 3 more months, and been on 10 since then and that dose still works. There's only 2 higher doses, 12.5 and 15, but not everyone can tolerate those levels, especially if you've had heart and constipation issues in the past.I weighed 265 lbs when I started, now at 210, goal is 190, ideal weight for 6'1" height.
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