probiotics saved me. nausea, indigestion, reflux, heartburn, all gone. started with yogurt daily but added more probiotics since. now i only get stomach issues if i overeat. diarrhea is rare and mild when it happens.
The stomach skin wrinkling is fat loss ahead of elasticity - it typically improves over 6-12 months as skin catches up. Pepcid is the right tool for the burp side effect.
The skin response to weight loss is directly age-dependent - the elastin production that snaps skin back decreases significantly after 30 and the change between 35 and 45 is bigger than most people expect. 45 lbs of skin contraction at that pace is the mechanism, not the medication itself.
the frequency that comes with running multiple compounds daily is where injection site management gets complicated - the tissue doesn't have enough time to recover between pins when you're doing multiple doses a day in the same general area. rotating through more sites or going to alternative areas is the usual fix, but the skin around the belly is genuinely taxed at that cadence