The following information is NOT intended to endorse drugs or recommend therapy. While these reviews might be helpful, they are not a substitute for the expertise, skill, knowledge and judgement of healthcare practitioners in patient care. "I started taking Xenical (Orlistat) almost a week ago. I gained about 30 pounds after 3 and a half years of using Mirena IUD thats why I started taking Orlistat because nothing was working, it seemed as if my metabolism had been shut. I eat about 1200 calories everyday, I workout 3 days a week and I get around 6000 or more steps a day. So for the first 3 days I had no oily side effects but on the fourth day thats when it really kicked in for me. So far I haven't really lost any weight if anything I've gained about 2 pounds but I'm not sure if that's because I've been working out and my body's retaining more water, I also have my monthly visitor so not quiet sure yet. 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