Adding to the earlier reply, I've tried four different versions. The first pair worked okay with the usual reactions like no appetite, much smaller meals, and heartburn at night, all at two and four milligrams. Didn't get any more after that. Moved on after learning about other options. The next one felt stronger and different, with the reactions starting to ease off, maybe just getting used to it. The one after has been the best yet, really even and effective with none of the reactions. At nine milligrams now and taking the next one at that level on Friday. Stocked up on several more from different makers. Sleep trouble began toward the end of the six milligram stage and hasn't gone away, only getting four to six hours with lots of tossing and turning plus waking at four in the morning. Same amount had no effect on my wife. I did try somet