Upping dose, still lazy!

Down 35 lbs since March and working out twice a day is the version where the medication cleared enough space to actually want to move. The OP feeling great but not yet hitting the gym is a different but equally valid stage. The lazy feeling on these meds sometimes resolves when the dose goes up - has appetite changed at all with the latest adjustment?

Post-pin day 3 at 20mg is usually when the strongest side effect window hits before things settle. 35 lbs down and asking about the motivation piece is the energy question - sometimes the motivation dip is the medication, sometimes it's the caloric restriction itself, and sometimes it's just where you are in the cycle. What does day 5-7 of your dose look like versus day 3?

Would suggest focusing on nutrition and adding some physical activity into the mix. Give the body extra support working alongside the medication wherever possible.

haha your next bump up will feel like nothing after this
as long as you can get in a solid 100g of liquid protein daily and still function
enjoy the ride!
that's another pound of fat gone by end of week
keep hitting 12k steps
treat it like a special week, stay on your training plan etc

Held steady at 2.5mg the entire time. Tracked what I ate without going overboard about it, mostly just aiming for a general deficit while getting enough protein and fiber in. Exercise is a big piece too, I hit the gym four times weekly and clock well over 10,000 steps most days.

Honestly not sure. Haven't stepped on a scale in about six weeks so I can't say for certain how well it's working. Pants feel a bit looser and moving around's gotten a little easier, but if pressed I'd guess I'm maybe 5-10 pounds down. Also a little concerned since that same old food chatter is still very much present. Doing my best to stay mindful of what I eat, but the pull to just eat throughout the day is constant. Makes me question how effective this really is for me. Currently on the .5 dose. Got a full year's supply lined up so fingers crossed things improve. Wishing you luck too.

Do you get much exercise in, and what kind? Lost a solid amount since late January on a lower dose but moving up this week since progress has stalled.
Eating healthier overall, mostly cut out junk food and desserts except the occasional treat, no soda or sweetened drinks.
Plenty of fruit alongside protein, aiming for a solid fiber and protein target starting from breakfast onward.
Mind sharing what moving up felt like for you? A little nervous after half a year at the lower amount.

Congrats! Not advice you requested, though I would have loved hearing it early: hold off on raising your dose until youve stalled for a month or begin to gain.

After reading these comments I'm wondering why I stepped up to 7.5mg. 5mg was working, and now eating even 500 calories in a day is a fight, though the scale hasn't budged since I began 7.5 on Friday. No energy (because I'm not eating, I know), the gym is a struggle and I'm losing loads of hair. I've done collagen for months and just added biotin and creatine, maybe too late. The pharmacy keeps offering the next dose each month and it never crossed my mind that I could stay put! Today I had a single slice of toast with protein and scrambled eggs and feel sick, I'm stuffed to the point of nausea, and likely nothing else today. Should I drop back to 5mg? I've already bought the 7.5 though, three doses remain.

Great progress. Weight loss is my main reason for taking it, and I'm 20. My worry is whether I'm raising the dose too fast: I went 2.5, then 5, then 7.5, all inside 3 months. What if 7.5 disappoints and I end up working through 10 first, later 12.5, later 15? By month 5 I'd be at 15mg, still hungry, nowhere left to go.

Can't speak to the pill version, didn't exercise much at first myself. After losing around 40 pounds I got more active, now down 60 total and running around outside just for fun. This helps build habits, not some magic skinny pill alone. Still need to manage eating, slow down while you eat, keep protein up. Nearly 40, dropped 60 pounds over a year, wasn't consistent with protein the whole time though. Staying between 70 and 90 grams actually works. Drink tons of water too, basically replace the extra food, about a gallon a day now, took time to build to that. Skip eating in front of screens, studies show you eat roughly double and feel half as satisfied without distractions. Pace yourself and eat slowly. Build new habits with this so it doesn't become a lifelong crutch.