The rest of the book is their conversation, which is all about luck and God. It is written partly in prose and partly in poetry. The woman, Philosophy, gives him advice. She tells Boethius that luck always changes, and that he shouldn't be surprised by this. That's the nature of luck. It is fickle. The wheel of Fortune turns. Sometimes you are at the top; sometimes you are at the bottom. A wealthy king can find himself in poverty in a day. Boethius should realize that's just the way it is. Luck is random. There is no guarantee that because you are lucky today you will be lucky tomorrow.
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