17 months in and fatigue is still the thing I get wrong
Check-in as promised in the title: 17 months in and fatigue is still the thing I get wrong.
The relevant figures are 17 months, and they come from the same log I have kept the whole time.
Reflux was the one that got me. Stopped eating in the three hours before bed and it went from nightly to almost never.
Held the dose for an extra six weeks instead of stepping. The muscle cramps settled and I lost the same amount anyway.
Would rather be corrected in public than confident in private.
best — the order this archive was captured in
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.
How long after a step up did this start?
How long after a step up did this start?
Disagreeing with this one line: that symptom is not on the wait-and-see list and should not be posted as though it is.
Disagreeing with this one line: that symptom is not on the wait-and-see list and should not be posted as though it is.
This is the shape almost everybody here describes, and it is the single most reassuring thing in the thread.
Kept a one-line-a-day log for two months. The pattern was obvious on paper and invisible in my head.
What is intake actually looking like — fibre and water especially?
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.
How long has it been going on for now?
Hair shedding after significant weight loss is a telogen effect that follows the rate of loss. It is not specific to these compounds and it resolves.
Hair shedding after significant weight loss is a telogen effect that follows the rate of loss.
Agreed, with the caveat that "usually settles" is not "always settles" and the exceptions should still get asked about properly.
Severe, or unpleasant? They are genuinely different questions and the answers diverge.
How long has it been going on for now?
Adding to this — holding the dose rather than stepping is the option people forget they have.
nausea for the first eight days after each step, then nothing, every single time. Predictable enough that I started planning my week around it.
the food noise going quiet is the effect people came for, and early fullness is the toll for the first fortnight
Constipation is mostly reduced intake plus reduced fluid, not a direct effect. That is why the boring fibre and water answer keeps working.
That symptom is not the one being described upthread. Two different things with similar names and the answers are not interchangeable.
Left up. It is a description of one person’s week and it is flagged as such.
Not convinced by that mechanism. Slowed gastric emptying explains fullness and reflux; it does not explain what you are describing.
hair shedding follows the weight loss, not the drug, and it stops
sulphur burps are unpleasant and they are not dangerous
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.
Bought four different things to fix my nausea. What actually worked was eating half as fast.
eating slower does more than most of the supplements people recommend
Nobody warned me about food noise and I would have liked the warning. It was not dangerous, it was just deeply unpleasant and completely unexpected.
- 1Most of the common complaints trace back to slowed gastric emptying — early…11 comments in this branch · started by u/step_therapy_s
- 2Left up. It is a description of one person’s week and it is flagged as such.7 comments in this branch · started by u/constipation_club