Sema @ 4 months - 20+ lbs gone!

[granola_cooler7754]

Three month plateau then breaking through is normal. Forty-two pounds in half a year is solid progress.

 

[dusty-cooler]

Losing 23 then finding it 1/10th the price overseas and continuing? That's honestly smart economics. Two weeks in and already seeing results is solid.

 

[basil-gardener]

Stopped taking it for cost, found something offshore at a fraction of the price. Jumped back on and the weight kept dropping.

 

[ambersiftertbh38]

80 lbs on sema and then the stall at 4 months before switching is the classic pattern. Tirz already showing movement is the strong early signal for a good response. The stall on sema at 11 months isn't failure - it's just hitting the ceiling of one mechanism.

 

[data-driven]

32 lbs at .50mg and now in maintenance without needing to go higher is the efficient version of the story. Staying at .25 for 6 weeks to build tolerance before bumping is the patient approach that usually makes the side effect profile cleaner. The OP's 20+ lbs at month 4 is on a similar trajectory.

 

[zen_pretzel]

Thanks! Seems like we're on a similar page. I've been lifting and working out several times a week, three to five, for going on a year and a half now. Definitely helps keep the peri and menopause symptoms in check.

 

[misoweaver]

Calorie deficit followed by maintenance, rather than sliding back into pre-sema eating, made the real difference for me. Started seeing noticeable changes around the two month mark. Began at 0.5 and moved up monthly. Also depends a lot on your workout routine. Good luck!

 

[foggysnacker99]

Started higher, lost a chunk over a few months on one medication, then it took nearly a year to lose a smaller additional amount. A couple months into a different medication now and down considerably further. Getting close to target.

 

[dusty-greekyogurt921]

Lost 60 pounds over two years, averaging about half a pound weekly. Mine came in distinct phases with long stretches of stalling. The first 25 took roughly four months, then things held steady for around a month, followed by another 15 over a couple months. The final 20 have mostly happened this past year. Deliberately eased the pace back to let my system adjust and preserve muscle mass. Also intentionally avoided losing weight once I began training for this particular race back in March, knew training performance would suffer running a deficit.

In my personal, non-professional opinion, losing weight while staying genuinely active tends to be harder and slower since you need enough fuel on board and can't afford to sacrifice muscle. If you've been running the single-pathway medication over six months and averaging under half a pound weekly, might be worth discussing an adjustment, otherwise I'm firmly in the slow-and-steady camp. You've got this!!

 

[flax_zepfan]

Hi, also a woman, started around the same four months back, ran 2.5 for three months then bumped to 5 for the last one. Began at 117kg, sitting at 102kg now. Aiming for 1300-1700 calories max daily with a floor of 100g protein. Lift at home most days plus bodyweight training pulled from online videos. Might be worth reviewing your own calorie and protein numbers? Wishing you luck, you've got this!

 

[Eastspring]

Protein intake ended up being the main priority here, paired with the sema that kept fullness in check most of the time. Gradual loss tends to stick better long term. Averaged roughly two pounds weekly, and that pace is likely a big reason the weight has stayed off.