Mine comes in waves, a few solid nights then one random 3am stretch for no obvious reason. Hard to pin down whether it's the med or just everything else changing at once.

tbh which pharmacy are you using? Mine switched to a different wholesaler in January and the delays stopped, though I've no idea if that's luck or not

I'm 33 down and the appetite thing hit me later too, not in week one. What did your first month actually look like?