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205 to 145 since October is a strong result - those photos tell the story that numbers miss.

Macadamia nuts as an energy anchor makes sense - the fat-to-carb ratio keeps things flat between meals.

One year in and transformative is the right word for it. The BP cascade from a 55 lb loss is one of the less-discussed outcomes - the medication does cascade-metabolic work beyond weight alone. Dizziness from hypotension can sneak up at that level of loss, worth monitoring going forward.

I've noticed that my desire to use cannabis has lessened since starting sema. Which is a welcome surprise.

This really resonates. It took me weeks to learn how to relax without automatically reaching for a snack. Eventually, I adjusted. Not super helpful, but I get it.

I noticed weight loss immediately. Never exceeded 1.5mg in a single injection. My ideal amount was 1.25mg for two months. I'm currently using tiny doses every two weeks for maintenance. The medication isn't suppressing appetite now, but it's greatly improving my arthritis.

On 0.25mg, I lost 47lbs in four and a half months.

To answer Robin_38, the main side effects I've had are some nausea and constipation, but nothing unmanageable. I just make sure to drink plenty of water and eat fiber.

Thanks!

:thumbsup::tada::four_leaf_clover::four_leaf_clover::four_leaf_clover::four_leaf_clover:

I've seen a significant change in my weight already. Pants are getting baggy and I can walk further without heavy breathing. Feeling great about how I look and feel, and it's only been about 3 months. LOL! Started on Zepbound (Tirzepatide), but my insurance quit paying, so my doctor switched...

I've heard that some people do really well on a lower dose long-term. If it was working, maybe going back down would be a good idea?

That can happen around the doses where you plateau. My doctor reassessed my plan before just jumping to a higher dose.

I agree with SlightlySmallerSam, those face gains are real! It’s the little things like that that keep you going. Keep up the awesome work, Pure-Pal!

I love it! You look amazing!

I recently discovered the downside - hipbones become a navigational hazard!

That's amazing progress Vegas_Vixen! I've been on semaglutide for about 6 weeks now, and while I'm seeing some results, it's nothing like that. I'm injecting in my thigh... maybe I should try a different site? I saw someone mention injecting closer to the stomach to increase the feeling of...

Wow!

You look fantastic and so happy!

It's amazing how much stress extra weight puts on your joints. I didn't really notice how bad it was until I started losing. Now I can walk so much further without pain.