I took my first 2.5mg dose on Friday. As someone who generally has a healthy relationship with food but a TERRIBLE metabolism I just need it to help match my appetite to my actual metabolic needs - not suppress it entirely. I am quite worried for those I see online who have whacked their dosage up to the point that they either can't eat or have to force themselves, and then have to turn to a raft of supplements just to try and stay healthy. There's such a difference between losing weight through calorie deficit vs complete nutritional deficit. I think side effects are also caused by lack of nutrition, not the medication alone.
I've spent nearly a year researching before committing. As someone who historically was very fit and healthy I have struggled with the rapid weight gain and with not being able to lose it and maintain my health through diet (macronutrition) and exercise alone. Honestly - it got to the point to lose anything I was having to commit to circa 20k steps per day, ride and look after my two horses, and also fit in a gym class on top of a full time job. Totally unsustainable. I went through the rigmarole of health testing to make sure it wasn't a health condition (thyroid etc.) first.
So far I've lost 5lb. I know that is a reaction to immediate calorie reduction and that it will probably slow - but as I'm really active anyway I'm hoping it won't be too much of a shock to the system and I will be a regular loser. But my desire to eat unnecessary foods is more or less gone, and I've found it has shifted the balance of effort vs reward for food. I.e. pulling over to grab a cereal bar from the garage because I'm peckish just isn't worth it anymore - so I make even better choices.
Time will tell.
Although I am new to the MJ journey, and will no doubt have to lean on others for advice / knowledge in that respect, as someone who knows a bit about basic diet and nutrition in general, I would say to anyone who is asking along the lines of 'what calories should I aim for?' or 'Will 1200 be enough?' - talk to the healthcare professionals who prescribed you the medication, or even better a nutritionist, for correct and bespoke advice. Everyone is different, and what works for one person won't work for you- and you should set yourself up to succeed, and stay healthy in the process.
Good luck everyone!!