Ate too much on Sema? Help!

Just_Mom

Just_Mom

Well-known member
So, my sweetie made a special supper last night for Valentines. I tried to be good all day since I knew it was coming. Just a protein shake for breakfast and otherwise, pretty light until dinner at 6:30. Also, it was injection day, and I'm taking 0.5mgs.

Dinner was amazing - prime rib and roasted yams. Perfect, but I think I ate 2 or even 3 times the amount that I should have. I was feeling sick to my stomach last night, but I didn't throw up.

Today, I can barely eat anything. I had a handful of yogurt with granola earlier, but that was enough. And I'm using the restroom constantly today.

Am I broken now? Will this last forever? 😫
 
I've had that happen a few times. It's from your stomach emptying more slowly. I always felt better in a day or two after a good bowel movement haha!
 
Ugh, tell me about it... We went out to eat last Saturday and I ate only a little more than normal and felt bloated. Woke up in the middle of the night, spent hours in the bathroom, and still felt bloated the next day...
 
yeah you need to eat small meals more often. You can't just eat nothing all day and then eat a huge meal at night.
 
Just a reminder to be extra careful with what you eat while taking these meds. They slow down digestion, sometimes *really* slow it down.

I ordered a small meat pizza with jalapeños. Big mistake. Woke up after only a few hours with terrible burning pain. It's been almost a whole day and I can still feel it. Be careful out there!
 
Oh man, I can relate to the food issues. I used to LOVE salads, but now... no way.
IF-warrior said:
It's been almost a whole day and I can still feel it.
Click to expand...
That's me with even a small side salad. Terrible cramping and other issues about 12 hours later. I miss salads!
 
Yeah, raw veggies can be tough. I discovered that broccoli is not a good choice for me. Raw cauliflower with dip also causes me a lot of distress. Cooked veggies are fine, but raw ones are not my friend anymore.
 
Miralax alternate mornings with 100-plus ounces of water. Senna-S alternate nights. Miralax just softens but if movement is sluggish it won't budge things. Senna-S pushes stool along your system. Hard impaction? Enema or suppository needed first. Then both to keep everything regular.
 
I count calories with sema to hit my macros. You can eat 800 kcal and be totally full on this stuff. To do it well you need real control of meals-mostly home cooking. Eating out once messes with tracking, though I still do it just rarely. The win is learning simple filling meals that work.
 
Special-occasion overeating on sema is common - the medication reduces the baseline appetite but doesn't fully suppress the response to compelling food or social eating pressure. For Valentine's or holiday meals, the practical approach is eating slowly, front-loading protein as you did, and accepting that one meal doesn't change the trajectory. The suppression returns to normal by the next day, and one meal's calorie surplus is unlikely to register over a week.
 
The pace you're hitting sounds rock solid. Been tracking that kind of weekly drop for five months straight myself, and it's held up beautifully. Better to ease into it than shock your system into preservation mode - keeps the muscle on you too. You're crushing it.
 
Dose increase nausea at 1.0 is the most common bump. Dramamine works differently than Pepcid - it targets the nausea reflex rather than acid, which is why it still works when Pepcid doesn't. Taking it 30-60 minutes before eating rather than after the nausea starts changes how effective it is. Most people find 1.0 settles in 2-3 weeks.
 
Half a cap is the right starting dose - a full cap is usually too much and makes things worse. Starting it the day before a heavy meal rather than after works better. Month 3 teaches this the hard way for most people.
 
The sugar reduction tends to lag behind other carb changes on sema - the satiety mechanism hits starch first, and sweet cravings use a slightly different circuit that takes longer to quiet. The Valentine's dinner overage is a one-off; the sugar pattern is the longer adjustment.
 
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