@lisalucier Hi, my husband and I retired to Costa Rica where you can get it without a prescription. And it is about 1/3 the cost here. You can also get it for much cheaper in Mexico. I have been following manufacturers directions for increasing dosages and have been doing quite well so far. I get more of an appetite the day before injection and then it seems to take about a day to kick back in. I have read of other people with weight loss surgery dividing the dose to be more even throughout the week so think I may give that a try. I am at the 1.5 dose now and think I will try that, rather than increasing the weekly dosage to 2.0. All our bodies react differently it seems so it’s all experimental with what works best for each of us.