Always Feeling Chilly?!

Hong Kong Yanpep International
Started Wegovy tablet at 1.5mg, some nausea but could eat. Jumped to 4mg and ended up in the ER with severe dehydration after puking for days. Stopped 2 weeks ago and still struggling with nausea, stomach pain, bloating.
 
ambien 10mg gave me 4 hours max, 20mg would get me another hour. switched to 12.5mg extended release—barely helped. miss trazodone, it was consistent.
 
Pretty sure it's Mounjaro. doubling from 2.5mg to 5mg comes with side effects. you might get more at week 3-4. don't rush to 7.5—sit at 5 as long as you can.
 
Complete thyroid panel including antibodies is worth requesting specifically. TSH alone misses a lot - T3, T4, TPO, and TgAb give the full picture. The insurance resistance is real but most direct lab services run the full panel for around $60 out of pocket.
 
The cold sensitivity at 238 to 181 is partly from the caloric deficit and partly from losing the insulating layer. Warming foods help - Greek yogurt, hummus, warm proteins. The body adjusts but it takes a few months to stabilize the thermostat at the new weight.
 
Feeling cold post-loss is a real physiology shift - body fat is insulation, and 57 lbs down is a meaningful reduction in that layer. The metabolic rate adjustment from caloric restriction adds to it. Both stabilize as the body settles.
 
the losing-the-insulation explanation for the cold sensitivity is accurate but understates the metabolic side - the lower body fat reduces the physical thermal barrier while the reduced caloric intake also lowers the heat generated through digestion and metabolism. it tends to be most pronounced during rapid loss because both factors are compounding at the same time; most people find it stabilizes once they reach maintenance
 
Ha, thought it was just personal experience! Freezing constantly the past several weeks, though it is winter locally. Figured the weight loss had something to do with it. Can handle the chill if it means the number keeps dropping.
 
Constantly cold here too. Even on days that should feel mild. Cold indoors, cold outdoors. Figure it's a mix of losing the fat layer that used to insulate plus some hormonal or metabolic shift that's lowered core body temperature overall.
 
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