Your expectations shape how it feels. MJ and I started in September 2024, so I'm close to two years in. Did I lose weight? Yes, roughly 100 pounds. Did my A1C improve? It fell from 11.4 to 4.8 across that first year. Was it as quick as I wanted? No, but you learn fast that comparing yourself to others is pointless. Nothing moved for me before the 7.5 dose, no big deal. I am also stuck 10 pounds from a healthy BMI, fine too. I eat lower carb and lower calorie with more protein and fiber, keep sugar low and drink tons of water. The scale has sat still for 10 months, yet my shape keeps shifting, nearly 2 dress sizes smaller. I exercise every day, around 14-16 hours weekly covering HIIT, barre, power lifting and yoga, plus a lunch walk when it isn't scorching. None of it shows on the scale.