Five months on semaglutide, only 6 lbs down, what am I missing?

[Lab_Girl]

Looking for an honest gut check from people further into this than I am. Roughly five foot seven, lost a modest amount over five months on sema, sitting at a lower weekly amount. Dosing before sleep on a fixed weeknight out of habit, keeping intake in a fairly moderate range, staying active through walking without formal workouts, sleeping close to a full night, minimal drinking. Never bothered logging protein, suspecting that's the real gap. Side effects stayed mild, a touch of queasiness right after each shot then nothing, appetite control strong through daytime but fading each night, likely where the damage happens. Prescription came through a telehealth platform with nurse practitioner oversight, no traditional doctor involved, so adjusting the dose should be simple, hasn't come up yet. Threads here suggest most people lose more by now. Undermedicated? Undoing progress after dark? Or just needing to log more? Hoping for realistic input from anyone who's lived through this stage.

 

[slowlyrest55]

Spent a handful of months on Zepbound before insurance forced a switch to Wegovy after about a month gap in between. Noticed appetite control wasn't nearly as strong on Wegovy compared to Zepbound, though side effects were also way milder on Wegovy than Zep ever was. For reference, was at 2.5 on Zep, currently sitting between .25 and .5 on Wegovy.

 

[nifty_popcorn42]

Time to shift focus toward calories, away from the medication itself. Stalled for months means you are not in a deficit. Logging intake and choosing lower-calorie-density foods makes more sense than adding more medication. These work best as a tool to build better habits, not as the primary driver of loss. Staying this active is genuinely impressive, plenty of people struggle with that. You might feel your eating has been solid, but a stall this long means you are taking in more than you think. Would suggest a tracking app with rigorous logging, scrutinize what you consume rather than trusting built-in suggestions, those tend to be off. Understand wanting appetite suppression back, hopefully that returns, but meanwhile tightening the numbers should help.

 

[snappy_salad3362]

Pretty typical at the lower end of the dosing range. Anything under roughly 1.7 or 2.4mg mostly serves as a ramp-up period, so plenty of people don't see steady appetite control until reaching those higher amounts. That said, if hunger's running above your usual baseline, worth examining protein intake, sleep quality, and whether your dosing schedule and injection routine stay consistent. If nothing improves after moving up, your provider might also consider trying a different medication in this class entirely.