Sema almost a year 30+ down

[Kelly]

210 to 178 on sema and holding after stopping is a solid result - the gym maintaining the loss without the medication is the behavior side of the equation working. The 15-20 you're still after becomes a lot more achievable with the muscle base you're building.

 

[Fox_Buddy791]

20 lbs in 5 months at a low sema dose while dealing with constant nausea and constipation is a tough experience. The OP going from 210 with a slower but more comfortable titration is a different path. Stopping because the side effects made it miserable is a completely reasonable call - what ended up happening after you stopped, and is switching to something else on the table?

 

[mantawrangler]

Roughly six years back, I worked myself to the bone dropping 30 lbs. Regained it all, plus another 10 on top, and when I tried the exact same playbook again, none of it worked anymore! Took over a year to shed that 30 back off, still chipping at that last 10, and the effort I'm putting in now matches what it took before sema ever entered the picture. It's just gotten dramatically harder, I'm 55 now! Don't feel like I'm taking a shortcut here at all. Logged 200 gym sessions over the past year. Track calories, chase my macros as closely as I can manage. Without sema, I honestly don't think I'd have been able to pull this off. My hormones were fighting way too hard to keep the weight from coming off otherwise.

 

[salty_lateadopter51]

Everyone's different. Don't box yourself in based on other people's results.

My own starting point was 445 pounds. Standing 6'1" and 61 years old, now sitting at 210 and still dropping. Plenty of lifestyle overhauls plus eating less got me here. Began on sema, moved to tirzepatide, and recently added reta into the mix.