I don't think I'm breaking any rules by posting this so here goes.
I was very overweight with severe pseudo gyno and wanted to lose as much weight as possible before having surgery. I ask my Dr. if there was any diet pill that might help. He prescribed a diet pill called Phentermine (37.5mg). This stuff worked like hell. I have been on diets all my life and at some point, either the hunger or fatigue would cause me to go off my diet. When I took this as prescribed I felt no hunger or fatigue when dieting. I was able to cut my caloric intake down to 1000-1500 cals/day with no problem. If you are a big guy you know how much weight you can lose if you can do this.
I may get some criticism for posting this because if you do your research you will find that Phentermine is basically an amphetamine. However, if you have a lot of weight to lose and have had trouble dieting in the past, a few months of this is a big help. Losing the weight will help you much more than the drug will ever hurt you. I started out at 350 lbs and am now down to 295. I want to lose another 50 before surgery.
Advice on getting this drug prescribed:
I live in the US and most of the time if you ask your Dr. for a weight loss drug they will give you what the big pharmaceutical companies are pushing.
Right now that is Meridia. Don't waste your time and money on that junk. Phentermine was invented in the 50's and the only way to get it is to ask. If your Dr. won't write for it simply take the Meridia script and go back in a month and say you still felt a lot of hunger and fatigue. You'll be telling the truth too. Trust me. Ask for Phentermine again and if they still won't write for it go to another Dr.
This is how I took it to get the most out of it:
I ate no breakfast and took the pill around 10:30 am. Don't eat until you are hungry. For me that was around 4:00 pm. When you do eat, eat moderate portions of healthy food. It's easy because you won't want to eat much. I would also eat a small supper around 8:30. By doing that I have lost 55 pounds in 5 months and did it with no hunger or fatigue. Easiest weight I've ever lost! When taking Phentermine throw out the idea of 3 meals a day and stuff like having lunch at 12:00 even if you aren't hungry. The greatest thing about taking this was not only did I not feel tired or hungry, I just was not interested in eating.
Drawbacks and caveats:
I wouldn't worry about the side effects much. There are supposed to be jitters, nervousness etc. I didn't experience any of this. Do try to get as much out of it as you can in the first few months though because your body will build a tolerance to it after about 6-8 months. Then you may start to feel hungry and tired again when dieting. You can still diet and lose weight, you just can't diet as intensely as when you take the drug. Also, be aware that there is a nonprescription supplement out there that just changes he spelling slightly (Phentramine?) and claims to do the same thing. I haven't tried it but heard it was junk.
You still need to commit yourself to a healthy diet and exercise. All I'm saying is if you are one who has a lot of weight to lose and 30-50 pounds would be a big jump start to you, then this is a diet drug you should seriously consider. It has worked great for me.
Sorry if this was a little long but I hope this will help someone.