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When I was on Sema, I barely touched alcohol. Then my doctor prescribed something else for my eating issues, and the desire totally vanished. It's a mix of two drugs, one of which is used for addiction. It's a cheap generic. I would ask your doctor about it.

Strong post. From a clinical standpoint, I want to reinforce this: Persistent, severe epigastric pain radiating to the back warrants evaluation for pancreatitis. It is uncommon but not something to ignore. Otherwise this is a balanced, responsible introduction.

That's a good reminder that these meds aren't a miracle cure and can have side effects. It is important to also have routine checkups.

I think the .25 and .50 doses are just to get more money disguised as "checking for side effects." We have capitalistic medicine, so it's a way to get a few extra months of the med even if it's not working. You're not alone. It probably doesn't do anything for most people until you're over 2mg...

A lot of people don’t lose weight on the 1.0mg dose because it’s not considered a therapeutic dose. It doesn’t mean anything is wrong. You might need 1.7mg or 2.4mg to lose weight. I suggest looking for a new provider to get the right dose to see if it works! Good luck!

Yes, the other wins matter too. Have you gotten another chest scan since starting this med? Thinking of your mom.

Terrific 😎

Looking good!

Officially, yes. The manufacturer guidelines state 56 days after first use, though refrigeration may extend this somewhat. It's a balance between potential waste and ensuring consistent dosing.

On the topic of dosing correctly, it's important to consider individual response and product stability. I saw a question about Ozempic pen usage. The pen is typically considered stable for 56 days after the first use if stored at room temperature, but refrigeration may extend its usability...

Sam, just remember that muscle weighs more than fat! So even if the scale isn't moving as fast as you'd like, you could still be losing inches. Keep up the great work!

Wow, congrats! I hit 199 on tuesday and it felt great!

OMG awesome!!!

It's not just about the number on the scale or the size of your clothes. It's the non-scale victories that really make a difference. More energy, less pain, feeling better overall. Keep celebrating those!

You look wonderful, well done on your success! Enjoy the journey.

Thanks for the share and for being an inspiration! So happy for you

Interesting about the Tesofensine. I avoid recommending anything that messes with sleep, since sleep quality is so important for overall health and weight management. But sounds like some people tolerate it well. Always good to start low and see how you react.

If you wanted a little extra push for weight loss and energy, I've found phentermine works well with tirzepatide. It's a stimulant, so it's not a long-term solution, but it does keep me energized. It's definitely not a necessity, but it's a nice bonus for both weight loss and feeling awake...

I agree that independent testing is crucial. It's alarming to see some of these analyses coming back with significant discrepancies. Does anyone have experience with Akina pharmacy for compounded medications? I'm looking for alternatives since my usual source is having supply chain issues.

My 10mg vials came with gold caps.