I decided about five weeks ago, to cut the 25mg of Met in half. My side effects were too much. So I did. I felt anxious about it and consulted with a therapist to help me with my fear. It helped. After about 4 days I was feeling a lot better. Still with fatigue but didn't have the shortness of breath. Also my libido was back, my mental strength improved, my creativity and incentive was back. I did well for about a month, and then the shortness of breath came back and I wasn't feeling well. Scheduled apt with Dr and went back on the former dosage. After five days, my water retention is down, I don't have that sense of being strangled around the chest, but very low energy and shortness of breath. I have leaky heart valves, mitro valve prolapse, and afib. Hearts enlarged to near fatal event six years ago of heart failure. Would like to suggest to Dr another med that doesn't drain me of life. Wondering if there is one or if it would make any difference. I'm 74 female, retired teacher.