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c/sideeffects·posted 2 months ago by u/rania_diallo

hair loss: the version I wish someone had shown me in week 1

PSA Cold Box ×4 Well Actually ×2 Long Haul ×2

Reporting in. hair loss: the version I wish someone had shown me in week 1.

Keeping a log, and what to put in it.

One line a day: dose, day since injection, what the symptom was and how bad out of five, and roughly what you ate. Two months of that fits on one page and the pattern is obvious on paper in a way it never is in your head.

Mine showed a clean day-two-to-day-four window I had been describing as "random". Once you can see the pattern you can plan around it, and planning around it is most of the relief.

Kept a one-line-a-day log for two months. The pattern was obvious on paper and invisible in my head.

Not medical advice, obviously, and nothing here is approved for human use. One person with a spreadsheet.

5,032 up / 367 down93% upvoted33 commentsid 1ar6a629 May 2026

33 comments

30 in this archive, depth 5

best — the order this archive was captured in

u/mass_spec_maggieMS886 points·2 months ago

On buying things to fix side effects, which I did extensively and would not do again.

The interventions that changed anything for me were all behavioural and free: smaller meals, eating slower, stopping food a few hours before sleep, more fibre and considerably more water. The things I bought did nothing I could detect, and I was motivated to detect something.

The other lever, which people forget, is time at dose. Holding rather than stepping is a legitimate plan and it fixed my tolerance where nothing else did.

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u/fatima_asante736 points·2 months ago

A symptom that begins the day after the shot and fades by day four tracks the exposure curve. One that appears at random in week 85 probably does not, and that is worth saying to a clinician rather than to us.

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u/rohan_steiner-16 points·2 months ago

What is intake actually looking like — fibre and water especially?

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u/rania_dialloOP-23 points·1 months ago

write down when it starts and stops, the pattern is the useful part

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u/rina_bergstrom1 point·1 months ago

write down when it starts and stops, the pattern is the useful part

Adding to this — holding the dose rather than stepping is the option people forget they have.

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[removed]1 point·1 months ago

[removed by moderator]

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u/hassan_castellanos1 point·1 months ago

The fatigue turned out to be that I was eating about a third of what I thought I was. Tracked it for a week and the mystery evaporated.

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u/placebo_arm_pam1 point·1 months ago

That symptom is not the one being described upthread. Two different things with similar names and the answers are not interchangeable.

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u/mikkel_kimani1 point·1 months ago

That symptom is not the one being described upthread.

Disagreeing with this one line: that symptom is not on the wait-and-see list and should not be posted as though it is.

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u/janoshik_junkieindependent tester1 point·1 months ago

reflux at night, try not eating in the three hours before bed

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u/brigade_detector1 point·1 months ago

Reflux was the one that got me. Stopped eating in the three hours before bed and it went from nightly to almost never.

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u/enzo_danquah400 points·2 months ago

Cosigning the fibre and water answer. Unglamorous, free, and it fixed it for me inside a week.

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u/lina_dziedzic101 points·2 months ago

Most of the common complaints trace back to slowed gastric emptying — early fullness, reflux, nausea after a large or fatty meal. That is also why meal size and speed change the experience more than anything else.

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u/laila_delgado235 points·2 months ago

The effect on gastric emptying is most pronounced early and attenuates with continued dosing, which is the mechanism behind the "it settles at a stable dose" pattern the whole board reports.

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u/tomas_broberg81 points·2 months ago

Same pattern here. It settled at a stable dose without me doing anything clever.

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u/sofia_wikstrom52 points·2 months ago

I would be careful here. "Everyone gets this" is not true, and it makes the people who get something unusual assume they are fine when they should be asking.

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u/iman_castellanos58 points·2 months ago

eating slower does more than most of the supplements people recommend

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u/liv_okafor170 points·1 months ago

constipation on day two and gone by day four is the standard shape

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u/chidi_abubakar194 points·1 months ago

Severe or persistent abdominal pain sits outside the pattern this board can usefully discuss. The honest answer there is that it needs someone who can examine you.

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u/liv_vukovic114 points·1 months ago

Are you eating in the couple of hours before you sleep?

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u/priya_weiss216 points·1 months ago

smaller meals, earlier, is the boring advice that works

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u/emil_barros126 points·1 months ago

Nothing in this thread is medical advice, including this comment. I am describing a mechanism, not telling anybody what to do about their own week.

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u/peptidemeter_pat118 points·2 months ago·edited

Not convinced by that mechanism. Slowed gastric emptying explains fullness and reflux; it does not explain what you are describing.

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u/iman_falk71 points·2 months ago

Nobody warned me about constipation and I would have liked the warning. It was not dangerous, it was just deeply unpleasant and completely unexpected.

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u/yannick_barros46 points·2 months ago·edited

Correction: that is a known effect of reduced intake rather than a direct drug effect. The distinction matters because the fix is different.

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u/plain_titration_202411 points·2 months ago·edited

Bought four different things to fix my sulphur burps. What actually worked was eating half as fast.

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About c/sideeffects

Side-effect experience and management, with a strong bias toward the ones that are common and boring (nausea, constipation, reflux, fatigue, sulphur burps) and a hard line on the ones that are not (severe abdominal pain, persistent vomiting, jaundice, vision changes). This community is not a substitute for urgent care and the mods will say so bluntly.

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