I have lost nearly 30 pounds in six months, and I do not need to lose any. My appetite is almost non-existent, I'm always worn out, and anything sweet (even just a small sip or bite) makes me severely queasy. I looked up the side effects of my Lupus meds, and all of them include loss of appetite, nausea, and possible weight loss. So I am giving serious consideration to going off my meds--albeit slowly and one at a time--because what's going on is really scaring me.