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You should always consult with your healthcare provider before
introducing any changes to your diet or level of physical activity.

Living Well : Nutrition


Staying hydrated is essential to your well-being—just be sure you're not consuming too many calories in the beverages you drink


Water is essential to life. Drinking water has been shown to help manage weight and may promote weight loss in several ways:

  • Drinking water instead of sweetened beverages lowers total caloric intake
  • Studies show that people who drink water before eating consume fewer calories. This may be because water can make you feel full
  • Drinking water may also change your metabolism. This may lead to weight loss

You may need more water if you are older, more active, or live in a hot climate or at a high altitude. Some health problems also increase the need for water. Consult with your healthcare provider to determine how much water is right for you.

Hydration is vital when you are physically active. When you go for a walk or take part in other physical activities suggested by your healthcare provider, try to start off well hydrated. Try to drink fluids a couple of hours before exercise, periodically during exercise, and more after you finish. This can help make up for the fluid you lose.


Sweetened drinks are a big source of extra calories. The average 12-oz soda has about 130 to 150 calories. Juice drinks can have closer to 200 calories in a 12-oz serving. Often, the drink you buy is even bigger—16 oz, 20 oz, or even 64 oz!

Maybe you prefer coffee drinks to sodas. The milk in coffee drinks can be good for you, but these drinks can also have lots of calories. At the coffee shop, a 12-oz latte made with 2% milk has 150 calories. You could switch to skim milk—it’s only 100 calories!

A latte is low-calorie compared to other drinks. Drinks with flavored syrup have more calories: a 2% milk white chocolate mocha can have 310 calories! Even when prepared with skim milk, it’ll add up to 270 calories—and that’s without whipped cream. At the coffee shop, you could choose smaller drinks made with skim milk. Try to avoid flavored syrups and ask for sugar-free. Also, try to watch out for extras like whipped cream. If you drink your coffee black, you may only be consuming 5 calories.


It can be a shock to know how many calories are in your favorite drinks. The good news is that cutting out sweetened drinks can be an easy way to cut calories! Research shows that cutting back on liquid calories can help you lose weight; it may even help more than cutting back on “solid” calories!

For starters, you may want to try these suggestions:

  • Drink water
  • Choose diet beverages instead
  • Try sparkling water with a little 100% fruit juice
  • Float lemon, lime, or cucumber slices in a pitcher of water
  • Make unsweetened iced tea
  • Make herbal iced tea. Herbal teas come in many different flavors, like mint, berry, and citrus

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Do not take Qsymia if you are pregnant, planning to become pregnant, or become pregnant during Qsymia treatment; have glaucoma; have thyroid problems (hyperthyroidism); are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days; are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in Qsymia. See the end of the Medication Guide for a complete list of ingredients in Qsymia.