obesity
"43 male taking this for a week now... I haven't experienced any of the negative side effects listed but have noticed a decrease is sexual pleasure and more difficulty coming to climax.  Other than that I feel less depressed, don't feel the urge to eat as often or as much, and have been sleeping better than usual.  Also some serious aches and pains in one of my feet have pretty much disappeared although I am not sure if that is due to this drug (but I'm not taking anything else that would possibly have that effect)"