Always Feeling Chilly?!

Started Wegovy tablet at 1.5mg, some nausea but could eat. Jumped to 4mg and ended up in the ER with severe dehydration after puking for days. Stopped 2 weeks ago and still struggling with nausea, stomach pain, bloating.
 
ambien 10mg gave me 4 hours max, 20mg would get me another hour. switched to 12.5mg extended release—barely helped. miss trazodone, it was consistent.
 
Pretty sure it's Mounjaro. doubling from 2.5mg to 5mg comes with side effects. you might get more at week 3-4. don't rush to 7.5—sit at 5 as long as you can.
 
Complete thyroid panel including antibodies is worth requesting specifically. TSH alone misses a lot - T3, T4, TPO, and TgAb give the full picture. The insurance resistance is real but most direct lab services run the full panel for around $60 out of pocket.
 
The cold sensitivity at 238 to 181 is partly from the caloric deficit and partly from losing the insulating layer. Warming foods help - Greek yogurt, hummus, warm proteins. The body adjusts but it takes a few months to stabilize the thermostat at the new weight.
 
Feeling cold post-loss is a real physiology shift - body fat is insulation, and 57 lbs down is a meaningful reduction in that layer. The metabolic rate adjustment from caloric restriction adds to it. Both stabilize as the body settles.
 
the losing-the-insulation explanation for the cold sensitivity is accurate but understates the metabolic side - the lower body fat reduces the physical thermal barrier while the reduced caloric intake also lowers the heat generated through digestion and metabolism. it tends to be most pronounced during rapid loss because both factors are compounding at the same time; most people find it stabilizes once they reach maintenance
 
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