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Plateaus of weeks usually have two causes - dose needing to go up, or protein intake not being high enough.

Coverage denial after documented health improvement is the most frustrating version of this. The appeal path is worth pursuing if your provider will document the metabolic improvement and the PCOS connection specifically - those two together carry more weight with the insurer than weight loss...

The 2.5mg window is where most people spend too little time before moving up. If food noise is increasing after 2 months, that's the signal to move - but waiting a full 4 weeks at any new dose is standard before reading it as a plateau. Staying at 2.5 longer isn't losing gains - it's building...

my stack: Costco daily vitamin, D3, magnesium glycinate, and creatine (just started yesterday).

Same here. Caremark just denied me after weeks in pending. Doc sent a letter saying it's medically necessary but no clue if it'll work. I'm out on the ledge with you — this med's changed my life. Good luck.

I really have to focus on 'what people think of me is none of my business.' But it's hard. Got skinny-shamed by a client the other day. There's no win—overweight? Fat phobia. Lose weight? 'Are you cheating, are you sick?'

PCOS plus this med plus inositol stacked together hits way harder than alone — two appetite-suppressing systems at once. But 800 calories is low. Risk isn't just weakness now — it's losing muscle and tanking metabolism long-term, opposite of what you want.

I agree with HealthCoffee -- you mostly hear the bad stories because those people need to vent. Tons of people are on it with no problems at all.

Ask your doctor for a Zofran prescription for the nausea.

You're probably feeling sick because the doc gave you twice the starting amount. Usually, you begin with 0.25 for a month, then go up to 0.5.

Okay, so I'm new to this, but all this talk about DMSO sounds scary. Does anyone have a super simple, step-by-step guide for dummies? I'm worried I'll mess it up.

OMG YES! It's like my body thinks I'm starving and needs quick energy. I've been trying protein shakes and stuff - at least it's slightly healthier!

I'm on tirzepatide, not sema, but I get it. Some weeks, the cravings and hunger are worse. Try to choose healthier options, and if you do indulge, stick to one serving! It's okay sometimes, just don't go overboard.

I'm on 1mg at the moment. Started low and slow as they say!

Congrats! What's your dosage?

Started hitting the gym alongside my weight-loss medication, and for the first time ever, I'm actually enjoying working out and eating better. Feels unreal! Here's my routine: Tracking steps with my Fitbit, shooting for 7 hours of sleep nightly, and weight lifting 3 times a week. I started with...

Hey Food_xo and Nat2004, I'm around 5'8" so I carry weight differently. It took me about 8 months to lose the weight. My 'maintenance' was a couple of months where I didn't actively try to lose more weight, but wasn't really tracking. I'm still eating healthy and exercising, but I wanted to see...

I try not to comment on appearances, but that backdrop really compliments your skin tone.

Thanks! I want a link to that dress, it's gorgeous!

I've finished the maintenance phase and I'm stoked to see what happens next! I started at 90kg back in January and I've been steady at 52kg for the past couple of months. I've been sharing my progress on my page if you wanna check it out. Just wanted to share, I'm so damn happy to not have to...