Down 75, building muscle now

Down 40 pounds with muscle gains. Still can't believe this is happening. Never thought I'd be attractive - and now strangers give me attention constantly. I tell myself I'm reading it wrong. Lighter, stronger, more endurance than before. Sexual drive is up, energy and motivation too. Feels like I can do anything now.
 
I lost noticeable muscle and also lost strength while on it, but since coming off a couple of weeks back the strength has begun to return. You dealing with the same thing?
 
I was on the other med for 2 years and switched about a month ago, just took my third 10mg dose. Lost 125 on the first one but it stopped working. First week on this I didn't feel much, second week maybe dropped a pound. This week I can barely get food down. What dose did you start at?
 
on my 4th dose this week, doing 0.25 wednesday evenings. no noticeable side effects unless i eat bad. fiber gummies am and pm, at least 48oz water, protein focus. junk food triggers nausea immediately.
 
Could be padding loss on your rear making your tailbone more noticeable. Building muscle there might help if it's not something medical going on.
 
That's genuinely impressive - 21 months of consistency shows. I'm with you on stepping back instead of chasing higher. Once you've got the appetite suppression locked in, the real game is eating enough to build what you want. Loose skin won't be your problem at your pace.
 
Protein plus exercise in elderly with dramatic results is the data point people need to see more - the narrative that GLP-1 muscle loss is inevitable doesn't hold up when the right muscle-protective habits are in place. The cholesterol piece is worth addressing early since some people see it shift during a significant deficit.
 
The protein-metabolism connection is real and immediate on these medications - the combination of a significant caloric deficit and GLP-1's effects on gastric emptying means muscle loss accelerates noticeably when protein gets deprioritized. The metabolism tanking afterward is the compounding cost.
 
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