Hi Halley! Im a newbie as well and just figured out how to post responses.. to answer your question I went to a weight loss clinic as well that specilaizes in bariatric surgery that i heard about from a friend. Its is quite costly, but the Phentermine is working so it was well worth it. My first visit was 300.oo the prescription cost me 45.00... After that I meet with a nutritionist once a month or so which is 50.00. I dont believe it to be a scam because they do accept insurance, but since I go to the V.A. they wouldn't cover it. I have found the posts to be helpful and always look at the before and afters, its keeps me motivated. Good luck to you and keep on going, it will be well worth it.