There have been problems with the mail order pharmacy resulting in a many week delay in shipping meds. But finally it is here.

Do I need it? For migraines, amitriptyline has already reduced their frequency and severity but not down to zero, so I guess I might try.

For weight loss, biking has already resulted in weight loss and appetite supression, but I guess I can have a bit more of that.

So I will try.

P-doc says that the most common side effect is drowsiness and some people can only tolerate the evening dose while the med is most effective with morning and evening doses. Well, there is caffeine against drowsiness - I do not drink that much caffeine so I can increase my intake safely. The next most common side effect is word finding difficulty. Caffeine does not work against THAT, so THAT would be a cause for discontinuation, I gather. If it is severe; a couple of words here and there would be OK, I imagine.