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Six months in is where the BP and energy picture usually starts to clarify.

0.2mg is one of the quieter starting doses - most people don't feel real suppression until closer to 1mg. The first titration up is usually when things shift.

Cirrhosis restricts some access pathways but not all - a direct hepatologist conversation about GLP-1 options is worth having.

dropped 63kg, went from BMI 44 to 23. alcohol dependency's pretty much gone now. walking 10km daily. the changes have been insane—stuff i was worried about starting turned into the best call i ever made.

Had surgery, stopped for 8 weeks at 1mg maintenance, restarted at 0.25 like you. Slight nausea. Back up to 0.75 now, slow and my pace, not the maker's directions. Zofran is the best nausea med to keep around. Stop before you feel full — those last bites get you. Hydrate, probiotics, stool...

Type 2 here, so different boat if you're type 1. Glucose bounces no matter what; it's what it does. Biggest thing is the swings get narrower. My A1C was 6.8 before, now 5.2 last October. Weight dropped too, which was the main reason I started.

Solid protein through food, rainbow of veggies, plus creatine, B12, iron (was low before starting). Also exercise — muscle work plus cardio — sounds weird but it matters. Good sleep and stress control too. Food alone doesn't make you healthy. Bodies need to move, rest, build strength.

Sorry they screwed you. Back in the day Brello would just believe whatever dose you said you were on. I told them 15mg of Tirz and used their Rx with another provider that needed one.

Ew, AI post.

Pro tip: that 30-minute wait is awesome for your body clock. Go outside and soak up some sun (if you can)! Or, you know, just chill in bed and scroll through your phone for half an hour. Anyway, great to hear the pill is working out!

Time will pass no matter what. You might as well take the path that leads where you want to go.

It's also better for your skin and your muscles to lose weight at a moderate pace, so you're doing great!

Thanks everyone for the birthday wishes and encouragement! I appreciate it more than you know. ❤️

I didn't really start losing until I reached 1mg, after about 4 months. I lost around 8 pounds in 6 months. Then I switched to a similar medication 3 months ago and lost another 15!

Hey everyone! 🤍 I'm about a month and a half into using .25mg. At first, I saw a little movement on the scale, which was exciting. But since then, it's mostly stayed the same, maybe fluctuating up a pound or two. I know it's a low starter dose and some variation is expected, but it's still...

Congrats! I went from 200 to 135 but it took a whole year! Which is fine, I don't even drink water. Now I need to work out a maintenance dose! I'm too old to lose more without looking frail. Do you feel a million times better? I remember groaning just trying to get out of bed! I never want to...

Thanks for posting!

Yeah, I've heard that BioKing. It's like your body gets used to it. I'm fighting the good fight though! Gym 3x a week now, tracking everything I eat. Not giving up!

I'll be honest: I was on sema for about half a year and reached my goal, even dipping a bit below it to give myself some leeway. Within a couple of months after stopping, I gained back 15-20 pounds. Now I'm back on a lower dose, hoping to learn to manage cravings this time. I don't want to be on...

I stopped abruptly and haven't regained any weight; I still only feel like eating once a day. It's been several months. My sister needs meds to control cravings because she had bariatric surgery. She's lost over 200 pounds. Congrats! My weight loss was straightforward, but my sister has...