Upping my dose - kinda scared!

[HealthLoss]

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.

 

[CellStory]

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[GastricEmpty]

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.

 

[T2D_Survivor_Mark]

The number of units isn't what matters, it's the MG amount that determines the dose. What's your current dosage in MG?

 

[Doubtful_Donut_8]

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?

 

[Checkup]

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!

 

[HealthLoss]

I advise listening to your body and perhaps taking a slightly smaller increase the first week if you're apprehensive.

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.

 

[T2D_Survivor_Mark]

Yeah, HealthLoss, it's about finding what works for you. Don't feel pressured to increase just because a schedule says so.

 

[GastricEmpty]

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.

 

[Doubtful_Donut_8]

There's often some left in the pen after the last dose. I always get extra needles and use every last bit.

Wow, really? I never thought about that! I'll have to look into getting more needles. Thanks!

 

[HealthLoss]

Hey Doubtful_Donut_8! A friend of mine started back on their full dose after a break and had a really bad time, so maybe ask your doctor if you take a break. Also, good luck!