@Stan-Douglas thanks for the encouragement! I'm being as safe and efficient as I can be. I dropped 69 pounds in the first 9 weeks and I went completely off the medication for 3 weeks, during which time I ate a lot more calories and put 10 pounds back on. I then flipped back on and the weight has just kept pouring off. Eating very little again. I don't believe there is a one size fits all approach with these medications. And I don't believe losing 5 pounds a week is any riskier than losing 2 pounds if it is done thoughtful, especially when there is more than 50 pounds to lose