I started last Monday 5/12/08. I followed the diet exactly. I lost 11.4 pounds the 1st week. I was actually seeking a lap band. My insurance requires me to participte in a physician supervised diet prior to surgery. Unlike anything else that I have tried in the past this seems like the answer. I am optimistic and I have hope. If this works I wont do the surgery. I know I wont lose that much each week maybe 2 or 3 pounds or less but I am confident the weight loss will continue. My Dr said more than half of the weight loss was water here on out I will lose more fat. The meds, supplements, and injections all work great I was never hungry. The only issue I had was on the 3 rd day I felt very dizzy. I called the office and was advised to eat a pice of string chesse, that helped. I carry a piece when I need at just in case. This is what I have been searching for for a long time. I am 5 ' 4" I am down to 223.5 so I have a long way to go, but I take it day by day.