Jamie,
I can only relate my reactions and solutions you should consult your physician.
It caused me to experience nausea until I discovered keeping some food in my stomach at all times greatly reduced this. That means smaller portions at mealtimes unless you dont mind gaining weight. So far I have been able to maintain my boyish figure by adjusting my meal portions to compensate for the extra food intake.
I found that a healthy snack of some absorbant food (I use pita bread) every 3 hours or so will keep the nausea in check. Be sure to eat something before retiring for the evening and then as soon as you wake up....I dont mean 1/2 hour after you wake up, I mean as soon as you wake up go to the kitchen and eat a piece of toast or bread. That helps me tremendously. I understand that when you level off the nausea will subside and the constant snacking may not be necessary.
Dont take it in the evening unless you dont want to sleep. It kept me up and really messed with my sleep pattern. I take it, you guessed it, as soon as I wake up. I feel jittery first thing in the morning but that goes away after I eat something. During the day I often feel like I have taken an over the counter cold medication, slightly wired. Not bad though.
I will say that it seems to be working for me and I have been using it for three weeks now. Be patient it takes some time to be effective.
Best of luck and keep us posted.
Mike