Recent content by Core-TBH

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    Half dose too little, whole too much?

    The sweet spot between 0.25mg and 0.5mg for sema exists but isn't available as a standard pen dose - some titrate by splitting doses differently or timing them mid-week. If 0.5mg side effects are mostly front-loaded, tolerance usually builds within 4-6 weeks at that dose.
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    Scale stuck? Check other progress markers!

    The scale stall is often the body recalibrating after a fast early phase - measurements, how clothes fit, energy levels, and sleep quality are all tracking changes the scale doesn't capture. Progress markers other than weight tend to show more consistent movement during a stall.
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    Can I take my shot a little early?

    Skipping a week and resuming at the same dose is the standard approach - no need to step back unless the gap stretches further. Half-life gives more flexibility than the weekly schedule suggests.
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    Still fighting the mental game...

    To Mike_1977, some patients do experience mood changes on these meds. Since you were already being treated for depression and anxiety, it's really important that you discuss this with your doctor ASAP. They might need to adjust your antidepressant or evaluate if the medication is the right...
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    Still fighting the mental game...

    That's fantastic! To HeartSquad, it's important to discuss your lack of progress with your prescribing physician. Dosage adjustments are usually based on individual response and tolerance. It's not uncommon for progress to be slow initially, but your doctor can assess if the current dosage is...
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    Does 100 lbs look like this?

    NSV's (non-scale victories) are a big motivator! I went from an XXL to an XL. Huge!
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    Does 100 lbs look like this?

    100 lbs is huge! I'm at 90, and I don't see it either. I think it's psychological. I'm coming up on a year in April. I hope I'm at 100 by then. I feel great, but my brain hasn't caught up.
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    Does 100 lbs look like this?

    Yes! You look fantastic! 100 pounds is a huge difference! You look great! Congrats!
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    Goal weight! Now what??

    I do the shot every 10 days and have gone from 1mg to .75. I'd still like to lose another 5-6lbs, but that'll mean tracking my macros, so I need to get into that mindset.
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    Does 100 lbs look like this?

    If you're not seeing it yourself, remember the 'paper towel effect.' The more you lose, the harder it is to notice the difference.
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    Goal weight! Now what??

    I've been in maintenance mode for about 2 months now. Still injecting once a week, but I've lowered the dose a bit and I add more calories on the weekends. I got into a routine of eggs for breakfast, crackers/cheese for lunch, and a salad with chicken/shrimp for dinner. Balance is important, and...
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    Down 11% - should I stop?

    I saw someone mention that they are doing this for their kids. I think that's wonderful, and relatable! I know someone who was diagnosed with T2D, despite having already lost 100 pounds through diet and exercise! GLP-1s can be great for controlling diabetes and just feeling better and being more...
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    Scary rebound after titrating down?

    That's why they say to combine GLP-1s with therapy, but usually people dont do it until something goes wrong. Obesity is an illness, point blank! We eat for emotional reasons. We try WW, diets, Keto, fasting, even surgeries. And its in the brain, its addiction: so we bandage the wound, but dont...
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    Down 11% - should I stop?

    Congrats on the weight loss, A1C-Slayer! It's great you're thinking about maintenance already. One thing to consider is that GLP-1s can have benefits beyond weight loss, such as improved blood sugar control and potential cardiovascular benefits. Even if you reach your weight goal, a lower...
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    Scary rebound after titrating down?

    That hunger coming back after a year sounds alarming, T2D_Survivor_Mark. It's understandable you're feeling uneasy. But the silver lining is your body gave you quick feedback, and your doctor reacted fast. Here's what may help: 1. Track more than just weight: appetite, energy, sleep. These can...
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