You should always consult with your healthcare provider before
introducing any changes to your diet or level of physical activity.

25 Steps for Success

Hi, Welcome to Step 1.

This Step's Feature


Your Weight-Loss Journey With Q and Me Begins Here

Congratulations! You've taken the first step towards your weight-loss goal.

Q and Me provides education and ongoing support to help you on your weight-loss journey. 25 Steps for Success supports you along the way. You'll be given a list of suggested goals, like those shown below. You can learn more about each goal by clicking on the + button next to it. If you want more information about any of the topics, you'll find in-depth information in our Living Well articles.

Good luck in your journey toward your weight-loss goal!

This Step's Goals

Monitor Your Progress with a Weight, Food and Exercise Tracker


An online tracker tool or app gives you a fast, simple way to record, plan and monitor your daily diet and physical activity. This week, start building some healthy weight-loss habits by:

  • Recording your weight in a weight tracker. You should plan to record your weight at least once a week so you that you can monitor your progress
  • Recording everything you eat in a food planner and tracker. By counting calories, you can help ensure you sure you reach your calorie goal each day. When you use a food planner and tracker, try to:
    • Record which food you ate, how much of it you ate, and when you ate it
    • Record what you ate right after eating. Even if you don't have immediate access to your tracker, write it down in a notebook and transfer it to your tracker when you're back online
  • Use an exercise tracker to record your physical activity. Remember, physical activity burns calories, and different activities—walking, yard work, and even running after your children—can count toward to your goal.
  • As you pursue your goal, keep the following tips in mind:
    • Stay under your calorie goal each day
    • Divide your calorie goal for each day into smaller calorie goals for individual meals and snacks
    • Stick to your physical activity program and credit yourself for the calories you burn
    • Don't go too far below your calorie goal. You may lose weight faster, but it will be harder to keep the weight off
    • If you go over your goal number on one day, try to go under your calorie goal on other days to make up for it

Learn more about how realistic goal setting can help you, and more about your calorie goal.

Your Daily Calorie Target

Think eating less than your recommended calorie target will help you lose weight faster? Think again!

Talk to Your Healthcare Provider About a Physical Activity Plan


If you haven't already done so, talk to your healthcare provider about a physical activity plan that's right for you.

Learn more about the importance of talking to your healthcare provider about choosing a physical activity.

Ask Your Healthcare Provider What Physical Activity Program Is Right for You

Regular exercise is key to healthy weight loss. But before you start working out, ask your doctor to help you pick a regimen right for you

As always, please:

  • Continue taking Qsymia┬« daily in the morning, as instructed by your healthcare provider
  • Use a tracker to record what you eat every day, your physical activities, and your weight for the week


Qsymia® should be used together with a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of:

  • 30 kg/m2 or greater (obese) or
  • 27 kg/m2 or greater (overweight) in the presence of at least one weight-related medical condition such as high blood pressure, type 2 diabetes, or high cholesterol

Limitations of Use:

  • It is not known if Qsymia changes your risk of heart problems or stroke or of death due to heart problems or stroke
  • It is not known if Qsymia is safe and effective when taken with other prescription, over-the-counter, or herbal weight loss products

It is not known if Qsymia is safe and effective in children under 18 years old


Do not take Qsymia if you are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment; have glaucoma; have thyroid problems (hyperthyroidism); are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days; are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia. See the end of the Medication Guide for a complete list of ingredients in Qsymia.

Qsymia can cause serious side effects, including:

Birth defects (cleft lip/cleft palate). If you take Qsymia during pregnancy, your baby has a higher risk for birth defects called cleft lip and cleft palate. These defects can begin early in pregnancy, even before you know you are pregnant. Women who are pregnant must not take Qsymia. Women who can become pregnant should have a negative pregnancy test before taking Qsymia and every month while taking Qsymia and use effective birth control (contraception) consistently while taking Qsymia. Talk to your healthcare provider about how to prevent pregnancy. If you become pregnant while taking Qsymia, stop taking Qsymia immediately, and tell your healthcare provider right away. Healthcare providers and patients should report all cases of pregnancy to FDA MedWatch at 1-800-FDA-1088, and the Qsymia Pregnancy Surveillance Program at 1-888-998-4887.

Increases in heart rate. Qsymia can increase your heart rate at rest. Your healthcare provider should check your heart rate while you take Qsymia. Tell your healthcare provider if you experience, while at rest, a racing or pounding feeling in your chest lasting several minutes when taking Qsymia.

Suicidal thoughts or actions. Topiramate, an ingredient in Qsymia, may cause you to have suicidal thoughts or actions. Call your healthcare provider right away if you have any of these symptoms, especially if they are new, worse, or worry you: thoughts about suicide or dying; attempts to commit suicide; new or worse depression; new or worse anxiety; feeling agitated or restless; panic attacks; trouble sleeping (insomnia); new or worse irritability; acting aggressive, being angry, or violent; acting on dangerous impulses; an extreme increase in activity or talking (mania); other unusual changes in behavior or mood.

Serious eye problems, which include any sudden decrease in vision, with or without eye pain and redness or a blockage of fluid in the eye causing increased pressure in the eye (secondary angle closure glaucoma). These problems can lead to permanent vision loss if not treated. Tell your healthcare provider right away if you have any new eye symptoms.

Possible side effects of Qsymia include:

Mood changes and trouble sleeping. Qsymia may cause depression or mood problems, and trouble sleeping. Tell your healthcare provider if symptoms occur.

Concentration, memory, and speech difficulties. Qsymia may affect how you think and cause confusion, problems with concentration, attention, memory or speech. Tell your healthcare provider if symptoms occur.

Increases of acid in bloodstream (metabolic acidosis). If left untreated, metabolic acidosis can cause brittle or soft bones (osteoporosis, osteomalacia, osteopenia), kidney stones, can slow the rate of growth in children, and may possibly harm your baby if you are pregnant. Metabolic acidosis can happen with or without symptoms. Sometimes people with metabolic acidosis will: feel tired, not feel hungry (loss of appetite), feel changes in heartbeat, or have trouble thinking clearly. Your healthcare provider should do a blood test to measure the level of acid in your blood before and during your treatment with Qsymia.

Low blood sugar (hypoglycemia) in people with type 2 diabetes mellitus who also take medicines used to treat type 2 diabetes mellitus. Weight loss can cause low blood sugar in people with type 2 diabetes mellitus who also take medicines used to treat type 2 diabetes mellitus (such as insulin or sulfonylureas). You should check your blood sugar before you start taking Qsymia and while you take Qsymia.

High blood pressure medicines. If you are taking medicines for your blood pressure, your doctor may need to adjust these medicines while taking Qsymia.

Central Nervous System (CNS) side effects. The use of prescription sleep aids, anxiety medicines, or drinking alcohol with Qsymia may cause an increase in CNS symptoms such as dizziness and light-headedness. Do not drink alcohol with Qsymia.

Possible seizures if you stop taking Qsymia too fast. Seizures may happen in people who may or may not have had seizures in the past if you stop Qsymia too fast. Your healthcare provider will tell you how to stop taking Qsymia slowly.

Kidney stones. Drink plenty of fluids when taking Qsymia to help decrease your chances of getting kidney stones. If you get severe side or back pain, and/or blood in your urine, call your healthcare provider.

Decreased sweating and increased body temperature (fever). People should be watched for signs of decreased sweating and fever, especially in hot temperatures. Some people may need to be hospitalized for this condition.

Common side effects of Qsymia include:

Numbness or tingling in the hands, arms, feet, or face (paraesthesia); dizziness; changes in the way foods taste or loss of taste (dysgeusia); trouble sleeping (insomnia); constipation; and dry mouth.

Tell your healthcare provider if you have any side effect that bothers you or does not go away. These are not all of the possible side effects of Qsymia. For more information, ask your healthcare provider or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to VIVUS, Inc. at 1-888-998-4887 or FDA at 1-800-FDA-1088 or

Please read the Qsymia Medication Guide and Full Prescribing Information.

The Q and Me Patient Resources and Education site is based on the LEARN® Program provided under copyright license (September 15, 2010). All rights reserved.