57 and 70+ lbs lighter!

Hong Kong Yanpep International
hanging at 7.5. no side effects even going up in dose makes me wonder if it's working. i hate diarrhea but when i got it, i knew something was happening. gotta be more patient. expected steady loss, got stuck 2 weeks, that threw me off.
 
The percentages-over-pounds tracking is the right mental model for the long run - absolute pounds per week shrinks as bodyweight drops, but percentage loss stays relatively steady if the protocol holds. Starting at 222 in Sept 2023 and still going at 57 is the compounded return on the early decision to start.
 
55 lbs naturally before starting and then adding the medication from 385 is a very different starting advantage than most people have. At 2mg with diet and exercise already solid, the medication is filling in the appetite piece that was harder to maintain alone. How is the rate holding up and is there room to go higher if it plateaus?
 
The 7-hour eating window with protein front-loaded at meal one is a solid structure for maintaining muscle while the medication is suppressing appetite - the shake plus bar at 11 gives you a meaningful protein hit before the window opens for real food, and the 3-hour post-pin fasting window builds in the timing automatically. The two-snack structure within that window keeps the protein spread over the afternoon rather than loading it all into two large meals.
 
11 weeks at 2mg with results slowing and appetite control loosening is exactly when the 4mg bump makes sense. The 'not able to pass on the pizza' signal is more useful than the scale for knowing a dose adjustment is needed. How quickly has the suppression picked back up since moving to 4mg?
 
The 150g butter daily as the primary energy source on very low carb is an extreme but internally consistent keto approach - at that fat intake, hepatic ketogenesis is substantial enough to suppress hunger through the ketone signaling pathway rather than just through caloric reduction. The hunger elimination this produces is real, though the long-term cardiovascular profile of that fat ratio is worth monitoring with a prescribing physician.
 
the gradual ramp from 2mg to 12mg over that period is actually a useful titration map for someone starting at 222 and working toward a meaningful goal. the vial math driving the dose steps rather than a clinical protocol is something most people end up doing in practice. how is 12mg sitting compared to the previous levels on the side effect side?
 
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