Just starting out... your advice?

Digital tracking is easier to search and sort over time. A simple phone note works. Some people prefer an app but the format matters less than doing it consistently.
 
For someone starting with T2D at 302, the medication is going to do a lot of work. The main advice from people who have been through it: track your blood sugar more than the scale in the first months. The metabolic shift happens before the weight loss becomes obvious.
 
302 at 5'11" with type 2 is where GLP-1 produces the strongest dual result - weight and blood sugar both move. Protein priority from day one.
 
Week 4 is the common window for meaningful appetite suppression to arrive, after the GI adjustment phase settles.
 
Starting dose on reta is typically 0.5mg weekly, so the concentration in your vial determines how many units that is - a 10mg/mL concentration would give 0.05mL per shot, or about 5 units on a 100-unit syringe. Worth calculating before pulling 40 units if you haven't confirmed the mg/mL.
 
At 2.5mg with fullness and burping, the dose is doing something - T2D typically gets blood sugar stabilization before the scale moves much.
 
Omeprazole is the right call for the heartburn side of things, and Dramamine for nausea in a pinch. The building-up-in-system nausea pattern is real - it often peaks around weeks 3-5 and then settles as your body adjusts to the dose. Crackers and something small before the shot can help buffer it.
 
Starting low and titrating slowly is genuinely the most important thing to get right in the first month - the people who push up too fast because they want faster results tend to create the nausea problems that could have been avoided. The protocol of waiting until weight loss stalls OR sides settle before moving up is the right sequence.
 
T2D and insulin resistance changing the expected response rate is well documented - the metabolic context means the weight loss mechanism works against a more entrenched hormonal picture. The 2.5mg starting point is the standard first step. The OP at 302 with T2D is asking the right questions at the right moment. What does the A1C look like going in and has the prescriber set a dose titration schedule?
 
You must log in or register to reply here.
Back
Top