Are not people who I would consider overweight to begin with. Any medication needs to weigh the costs and benefits and a good doctor would help you navigate that. If a healthy person came in and wanted to lose 30 pounds, I think a wise doctor would recommend lifestyle changes first. If your weight loss is more of an urgent issue then maybe meditation like that would be the best choice. But my observation is that a lot of people are taking it for cosmetic reasons which I think is not wise for a lot of reasons.