Down 30+ lbs in ~4 months!

Probably eating too much. i lost steady 1.5 lbs/week but only at 1000-1200 cals. hormones all over the place too which messes with it. try dropping 100 cals a week til you hit 1-2 lbs loss. also pre-period water gain used to hide my loss for 3 weeks then boom 4 lbs in one week.
 
Month 5 GI trouble after strong early results is the volume-reduction lag - the gut has been eating less for months and sometimes protests. Smaller, more frequent meals tend to help more than eating less per sitting.
 
30 lbs in about 4 months is right at the upper range of what GLP-1s produce in that window with good adherence. The 'huge difference' framing is accurate - the face and posture changes in the first 30 lbs tend to be more noticeable to others than to the person losing. The DIY BAC approach works but the standard 0.9% benzyl alcohol concentration is worth confirming before reconstituting anything.
 
Anxiety resurfacing at month 5 is worth flagging with your prescriber - dose adjustment or schedule change can sometimes reduce it.
 
A1C improvement alongside weight loss at that pace is the combination that changes the long-term picture - the metabolic markers often respond faster than people expect when the weight comes off consistently. The forum search for injection pain is the right move, there are a lot of solved cases in the thread history.
 
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