Not seeing much progress...advice?

Love seeing updates. It inspires me to make more changes beyond just my eating habits.

Slow progress is still progress. The first couple of months are the adjustment phase - it often kicks in properly after that.

Rybelesus is showing real results for you. Keep at it and stay patient with the process.

The progress in these photos is stunning! How long has it been between them?

Early discouragement on GLP-1s is common - the internal changes happen before the scale catches up. Non-scale indicators like energy, sleep, and appetite quality fill the gap while the number lags.

A super responder rate of 15 lbs the first month and then slowing to a consistent 1-2 per week is actually the ideal pattern, not a problem. Staying on the low dose as long as it's producing 1-2 per week is the exact right approach. For the OP who's discouraged, the question is whether any appetite suppression is happening at all - if there's none, the dose may need to go up; if there's some, it's doing its job.

4 weeks is usually the window to make a dose decision rather than waiting longer. Dropping from about 2 lbs per week at 4mg but still losing is actually a good progression - the number looks smaller but the consistency at a higher dose is a better long-term baseline. What's hunger suppression feeling like right now and how long have you been on the current dose?

The scale's inability to distinguish fat loss from water retention and muscle gain is the root of most discouragement at this stage - a persistent deficit produces fat loss whether the scale confirms it day-to-day or not. Trending the weekly average over 3-4 weeks is the only meaningful signal from the scale early on.

Weirdly my appetite went up once I bumped to .5. Only lost about 6 pounds so far despite a solid calorie deficit and hitting my step goals. Taking shot number six tomorrow.

Started at 237.8 back on Feb 19, sitting at 217.8 as of June 4, so 20 pounds over 3.5 months, moving, just painfully slower than I'd hoped.

Agree with my doctor that lifestyle and diet shifts would help most, easier said than done though, solo parent, only income earner, juggling school too, the stressor list is long. Was hoping for the bump to 1mg, guess I'll wait and see, maybe think about a new doctor meanwhile.

Thanks for the input! Shot day is tomorrow. Might try splitting the dose across the week and see how that plays out. Wasn't sure if going back down to .25 would set me back given I'm already used to .5.