Started dealing with real joint pain around the three-month mark. Was only borderline overweight going in, BMI 24.9, and I'm down roughly 15 pounds so far. Chalked it up to perimenopause, which actually tracks better, and I'm about to start HRT. Who knows though, guess I'll find out if that actually helps. Just had to be extra careful lately, doubled my usual walking mileage, dropped my strength training down to 5lb weights and building sets back up slowly. Overall things have felt better the past couple weeks. Still can't say for sure if this is the semaglutide or the perimenopause talking. Haven't sat at this weight in almost a decade.