Ozempic plateau - anyone else?

Hong Kong Yanpep International
IPA side effects killed it for me—hunger spike + water weight. switched to Tesa daily (2mg fasted, no weekly break) based on the Egrifta trial data. 20mg kits run under $200; full 6-month is just 2 kits.
 
had a dose wobble on semaglutide that made it stop working. switched to a low dose of tirzepatide and at first thought it wasn't working because there's no nausea like sema gave. but gave it a shot and quietly forgot about food. lost another 15 lbs in 6 weeks on the second-lowest dose.
 
went from 0.25 to 0.50 to 1mg on wegovy, then looked into switching to tirzepatide. conversion charts say 1-2.4mg of sema is like 5mg of this other one. started at 2.5mg to be safe but by day 3 the appetite stuff was gone, so maybe i needed more.
 
That kind of stall is honestly typical after such a significant initial drop. Not a sign of failure, just the body settling into a new normal. Progress like yours, more activity, better food choices, still counts even when the scale itself sits still. Right now it's really more about staying consistent, watching protein, and tracking the bigger picture, strength, measurements, energy levels. Might help to touch base with whoever manages your prescription and review the plan too.
 
True to an extent, plateaus do happen sometimes. When they do I switch over to eating at maintenance level for a stretch, then head back into a deficit. Kind of resets things.
 
Sounds like your doctor gave you the right, honest answer. I'd stick with Ozempic since it seems to be keeping your A1C well managed, which really is the priority here. To break through the plateau, tighten up your nutrition and add another half hour of walking daily, staying consistent should get the scale moving again before long.
 
Yep, hitting the gym three to four times weekly, roughly 7-10k steps most weekdays. Staying hydrated and sleeping fine. Was already working out before starting ozempic, then got injured and ballooned up to 300lbs. Started exercising again six months before beginning Ozempic, and since the scale wasn't budging on its own, figured trying the medication might speed things along given I'm nearly 40 and refuse to accept this as permanent.

Hoping it just needs more time before I see movement, but I'll probably quit within three months if nothing changes. Losing confidence in it honestly, and if the drug isn't going to deliver, I'd rather go back to doing this without spending so much on it.

Thanks
 
Average loss on Ozempic is around 15%, and you've beaten that by a lot. Everybody has a personal max and you've probably hit yours. Your best move is probably trying Mounjaro, since it usually takes off more than Ozempic.
 
My path is a bit different since 7.5mg was my ceiling, but I've stalled plenty of times, and eating well plus lifting weights gets me going again. A nutrition app offered in the US and UK helped me track food around these targets: 1.6g protein per kg bodyweight daily, at least 30g fibre daily, 30+ plants weekly, and avoiding ultra processed food. Two podcasts helped me too, both covering why fibre, protein and strength training matter, along with the weight set point idea. One gives four rules to protect muscle, bones and brain on weight loss drugs, and the other lists five things to learn prior to starting GLP-1 drugs.
 
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