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I am also on the same pill but I I also portion size but not to the point of omitting some food groups. I go visit the gym at least thrice a week. It really helped me maintain a good shape since it did kill my irritating hunger pangs that I would normally feel two hours after eating. I also think that a good cardio exercise can keep your heart healthy even when your not on the pill. I am not a believer that a diet pill effective for women would be as good for men too, but now I am.