6-month log: updated every Sunday

I've been doing a weekly log in this thread and several people have asked me to keep going so here's month 3 update: down 31 lbs from 278 to 247. Lost about 3-4 lbs per month after the fast initial drop. Stalled for 2 weeks at month 2.5 and it broke on its own. Energy is better. Sleep is better. Still on 0.5mg and my doctor wants to see me stay here another month.

For what it's worth, Meal-prepping kept me from grazing on bad days. Everyone's different of course.

Just wanted to say, Been there, it does get easier I promise. Sending good vibes your way. (Not medical advice, just my own experience.)

Adding my two cents: I split my routine around the shot day now and it helps. How are you finding the higher dose so far.

Just wanted to say, Did you split your dose or take it all at once. How are you handling the injection-day fatigue. Don't weigh daily, the trend line is what matters. This community is the best.

@ScaleWatcher same thing happened to me. The stall broke after I added more protein.

Just wanted to say, Plateaus are the worst, hang in there. You've got this.

Six-month check-in thread for anyone who wants to follow along: Month 1 (0.25mg): Down 11 lbs. Mostly water weight plus the early loss. Nausea was rough days 2-4 after injection but manageable with small meals. Month 2 (0.5mg): Down 8 more lbs. Found my rhythm. Protein first at every meal. Nausea basically gone by week 6. Month 3 (0.5mg still): Stall. 3 weeks, scale didn't move. Measurements did. Pushed through. Month 4 (1mg): Stall broke at the new dose. Down 9 lbs this month. Month 5 (1mg): Steady loss, 6 lbs. Starting to feel like maintenance territory. Month 6 (1mg): Current status. Total: -41 lbs. Energy is excellent. Food relationship completely transformed. Would recommend to anyone who qualifies.

Totally agree. You're not alone in this, so many of us have been there. I plan my meals around shot-day appetite changes now.

Late to this but This made my day to read. Plateaus are the worst, hang in there. You're not alone in this, so many of us have been there. Hang in there. Definitely run it by your own prescriber though.

I keep a protein shake on my desk for days when nothing sounds good. It helps.

Reading this and How are you handling the injection-day fatigue. That stall messed with my head too, you'll break through. Thanks for sharing this.

That stall messed with my head too, you'll break through. Plateaus are the worst, hang in there. Are you tracking protein or just eating intuitively. So glad I'm not alone in this. (Not medical advice, just my own experience.)

Strength training helped me keep muscle while losing. The mental side is harder than people admit. Rooting for you. Definitely run it by your own prescriber though.

Totally agree. Maintenance for three months now and holding. Rooting for you. Consistency with my injection day mattered more than the exact dose.

Posting my insurance appeal letter since a few people asked. This is what finally worked after three denials: I had my doctor submit a Letter of Medical Necessity that specifically cited: (1) my BMI over 30 with comorbidities, (2) documented failure of two prior weight-loss interventions over 12 months, (3) relevant metabolic markers including elevated triglycerides and pre-diabetic A1C. The key addition that got it approved was asking the doctor to cite the specific plan coverage language and argue that denying the medication violated the plan's own obesity-management coverage terms. We also requested a peer-to-peer review call. Don't give up after one denial. Three denials is unfortunately normal. Each appeal should be more specific than the last.

Honestly, So proud of you.

Reading this and Sending solidarity, this part is genuinely hard. This community is the best. Definitely run it by your own prescriber though.

Coming back to this thread — Don't weigh daily, the trend line is what matters. Everyone's different of course.

Late to this but Are you pairing it with any walking or strength work. Keep us posted!