So my lips are chapped even more and my skin is drying a bit more as well. I am getting mild lower back pain and in my legs too. Can't really carry anything without having my arms feeling fatigued but that's the whole process of the pill kicking in. I don't have any serious side effects *knock on wood*. A little spacey and feeling "empty" at times but nothing severe- could be also other daily occurrences that cause that as well. Vision hasn't effected me yet or I just don't notice. Can't really think of anything else. I move up to 40 mg a day in 10 days and I have to go and get my blood tests really soon.