reflux — 5 things I got wrong before I got it right
Thinking out loud about this: reflux — 5 things I got wrong before I got it right.
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.
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.
fatigue for the first eight days after each step, then nothing, every single time. Predictable enough that I started planning my week around it.
Ask me anything specific. Anything general I will probably get wrong.
best — the order this archive was captured in
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.
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.
I would be careful here.
Agreed, with the caveat that "usually settles" is not "always settles" and the exceptions should still get asked about properly.
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.
Right, and the hair thing is worth repeating: it tracks the rate of loss rather than the compound, and it stops.
Right, and the hair thing is worth repeating: it tracks the rate of loss rather than the compound, and it stops.
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.
Adding to this — holding the dose rather than stepping is the option people forget they have.
if it is severe or persistent that is a clinician question, not a board question
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.
Not convinced by that mechanism. Slowed gastric emptying explains fullness and reflux; it does not explain what you are describing.