I need it but my doctor cannot write me a prescription for it unless I get diabetes. The joke is that I'll probably end up with it at this rate, and the absurdity of my situation isn't lost of them either. My options are to visit a weight loss clinic importing it (legally) from the US and pay out of pocket, look into Xenical which has only recently been approved in Japan or re-evaluate my diet + exercise routine for the hundredth time.