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180 to 120 at goal - the maintenance conversation is about finding the minimum effective dose that holds the result, which varies per person but is usually 1-2 steps below the peak dose you were on.

Holding for 10 seconds is the floor - 15 is safer, especially once the dose volume goes up and you want to make sure nothing leaks back out.

0.25mg is the GI calibration step, not the therapeutic dose - most people don't notice much effect there. The real appetite suppression starts at 0.5mg and beyond. Four weeks at 0.25 before stepping up is the standard ramp.

My insurance won't cover it, so I'm using a health savings account to pay for the compounded version. I'm curious what others are paying!

A lot of insurance providers will only cover them if you're a diabetic or prediabetic.

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That's awesome! Could you share if you did anything besides the sema? I'm aiming for a similar amount of weight loss.

PlateauBuster I can assure you it's 50lbs! Maybe it's the angle or clothing?

Thanks everyone for the kind words! To answer a few questions I am not working out, but probably should! And I'm eating smaller portions of what I used to.

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I can't believe I've shed 52 pounds! Reached a huge milestone – under 140! Started this whole thing back in September!

I agree! It's inspiring to see people reach those milestones. Every little bit of progress counts!

I see you in both pictures! Congrats on all the progress!

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You look amazing! Where'd you get your outfit? It's adorable!

Interesting! I have noticed edibles take longer to kick in, but I still get the munchies. But I don't eat as much, thankfully.

Novo Nordisk has already stated that they won't raise prices or implement tariffs.

I saw someone on reddit saying that generic GLP-1 production could cost as little as $3 a month! That's wild. Even if it ends up being, like, $400 a month at the pharmacy, it's still a huge improvement.

Maybe you're thinking of micro spicules, added to creams for micro needling effect. These creams can contain exosomes or growth factors. Microneedles aren't the same as exosomes though.

Wanted to add to this conversation that if you were losing weight on a lower dose and have since stalled it may be worth trying to go back down to that dose. Sometimes the body can react to higher doses by holding weight.