Upping my dose - kinda scared!

Hong Kong Yanpep International
H

HealthLoss

Well-known member
Hi everyone! Tomorrow's the day I go from 14 to 28 units in week 9, and I'm a bit anxious. It feels like a significant leap. I started at 143 lbs using semaglutide (which I'm paying for myself), and I'm now at 134 lbs, so it's definitely working.

My second daughter arrived last June. I was huge from gestational diabetes and pre-eclampsia during a difficult pregnancy... plus, I'm on an antipsychotic that adds around 20 lbs on its own. As a fitness instructor, I've never felt so out of shape, and it's been tough on my mental health. Since starting the medication, I experienced vomiting once after a dose increase and occasional diarrhea (sorry for the overshare!). It's stabilized since then, with no side effects unless I overeat junk food. I'm just nervous but also excited to reach my target weight of 112-115 lbs.
 
My dose was supposed to double this week, but I only went up a few units. It's working well where I am, and I'm avoiding nausea by making small adjustments.
 
I've found increasing by just a tiny bit each time helps with the nausea. My telehealth doc recommended that. I also heard that injecting in your thigh might help with side effects? Has anyone tried that?
 
If the concentration remains the same, doubling the units is equivalent to doubling the dose. That can hit you hard. While there's a standard titration schedule, those large increases can be tough. I advise listening to your body and perhaps taking a slightly smaller increase the first week if you're apprehensive. Since you've been on it for a while, hopefully you won't feel it too much! Fingers crossed! 🤞🤞🤞
 
Checkup said:
I advise listening to your body and perhaps taking a slightly smaller increase the first week if you're apprehensive.
Click to expand...
Thanks, that's really helpful! I think I will go up by a smaller amount. It's good to know it is ok to not follow it exactly.
 
I also think people waste a lot of medication. There's often some left in the pen after the last dose. I always get extra needles and use every last bit.
 
GastricEmpty said:
There's often some left in the pen after the last dose. I always get extra needles and use every last bit.
Click to expand...
Wow, really? I never thought about that! I'll have to look into getting more needles. Thanks!
 
that feeling of thinner before the scale shows it is real - body composition shifts before the number does sometimes. the slow escalation approach is exactly the protocol that keeps side effects manageable when jumping doses. Week 9 is still early in the overall picture.
 
15 lbs in 9 weeks is right on pace and only 5 from goal is a great spot to be nervous from. The dose jump anxiety is completely normal - most people find the step up is less dramatic than they feared. At 150 with the goal only a few lbs away, the question is whether you actually need to go higher or if the current dose gets you there.
 
Waiting to see how she feels at the end of the first week before deciding on the dose is the right call when the previous dose hit hard. The OP's anxiety about doubling from 14 to 28 units is normal - the jump feels significant on paper but the actual dose increase is within the standard protocol range. A full week at the current dose is enough information to make the decision with more confidence.
 
You're already under goal weight, congrats! My concern with titrating up this late is ending up dependent on the higher dose just to maintain, which makes eventually weaning off harder than if I'd leaned on solid habits from the start.
 
You must log in or register to reply here.
Back
Top