I've been on it twice. The first time it didn't work because I was deep in my anorexia so I didn't eat enough with it when I took it and I ended up throwing it up.

The second time was from last May to this March (? around there). It worked really well. I made sure I ate enough before taking it so I wouldn't get nauseous or throw it up (it says you're supposed to take it with 350 calories for it to work, but I found that even just a yogurt was enough). I had no side effects other than the nausea when I took it without food. I too have emetophobia, so I understand that completely. So just take it with lots of food and you should be all set! When I went on it I stopped cold turkey and went straight to Zyprexa. No side effects from doing that.