I have been on savella for about 6months now, it is great! I wish i had know about this med 15 yrs ago. My Dr wants me on 100mg a day but i have only been able to work up to 50mg so far. It is hard to increase it and still work. Just to let you know most of last year i was very sickly. I had major flares with the fibromyalgia and reaccurring Bells Palsy. Missed a lot of work. I spent major bucks trying to get rid of Bells Palsy and find a solution to the Fibro. But when my Fibro. Dr. put me on Savella it seemed to help the Fibro and Bells Palsy. I do have a lot of hot flashes but i did not relate it to the meds sense i am at that age anyway until i read some of the post here. it took several weeks to get past the nausea but that finally subsided. And, I did have a period of time that i did not eat as much so I lost a few pounds. I am at the point now that i feel so much better i am attemting to do some Pilates execises to regain some of my strength. But i am in such bad shape i am having to do this very slowly. Just wanted to give some of you some encouragement on the savella journey. Have a Great Day and God Bless.