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.