I don't want to overstate the case. Again, the cases of intense vomiting have been very infrequent and - perhaps more to the point - it's possible that I could

I don't want to overstate the case. Again, the cases of intense vomiting have been very infrequent and - perhaps more to the point - it's possible that I could avoid those with corresponding changes to my diet, whether it's content, timing, etc. That said, even on days when there's no outright vomiting, I do experience moderately frequent nausea, which is rather annoying. Since I am diabetic, I've chosen to simply accept the side effects as being acceptable in service of the "greater good". But yeah, consider talking to you doctor and just see what he/she has to say. Maybe a smaller dose could help you with your weight, while not leading to the nausea / vomiting / etc. I'll note that I didn't start getting that stuff until my doc upped my dose from .25mg / week to 1mg / week. YMMV.