Could anyone recommend any tips when first starting to take orlistat?

Bear in mind that Orlistat won't make you loose weight, it's just a tiny help to remove a little bit of fat of your meals. Take only one before/after your main meal. Taking twice will make you feel too much abdominal pain and also embarrass yourself if you're not immediately nearby a bathroom, also think twice before farting, otherwise a huge embarrassment will happen. This tragic scenery will make you eat less fat meals, that's the key of this medicine. So, I encourage you to take it twice a day, thus you can "naturally" learn the lesson by yourself. Work out will also help you improve your health. Take your time as miracles won't happen without that quick Good luck.