Week-by-week log starting at 247 lbs — join me

Just wanted to check in at week 6 because I remember being terrified reading about nausea before I started. It was rough — weeks 2-4 were genuinely difficult. But I woke up this morning feeling normal for the first time since starting and I'm down 18 lbs. If you're in the thick of the nausea phase right now, it does pass. Hydrate, eat small, and give it time.

How long did the food noise take to quiet down. How are you handling the injection-day fatigue. This community is the best.

I plan my meals around shot-day appetite changes now. Just hit my first 20 lbs and I can't believe it. (Not medical advice, just my own experience.)

Just wanted to say, This is huge. Batch-cooking high-protein meals saved my willpower. Hang in there. Everyone's different of course.

My doctor kept me at 0.5mg for 10 weeks. Slower titration, fewer side effects — worth it.

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.

I plan my meals around shot-day appetite changes now. Keep us posted!

Reading this and This past year has been the biggest change of my life. Are you pairing it with any walking or strength work. Strength training helped me keep muscle while losing. Keep us posted! Definitely run it by your own prescriber though.

Following along, Strength training helped me keep muscle while losing. Onward!

Totally agree. Rooting for you. Batch-cooking high-protein meals saved my willpower. What's your current titration schedule looking like. So glad I'm not alone in this. (Not medical advice, just my own experience.)

Reading this and Incredible progress. I keep a food + weight log to spot the trends, not the daily noise. Six months in and down 41 lbs total.

For what it's worth, Six months in and the scale keeps moving the right way. Thanks for sharing this. Definitely run it by your own prescriber though.

Coming back to this thread, You should be really proud. Thanks for sharing this.

Starting the weight-loss log here because I need accountability. Starting weight: 278 lbs. Goal: 195 lbs. Week 1 on 0.25mg semaglutide. No real side effects yet, just a slightly off stomach on injection day. Will update every Monday.

Honestly, Stay the course. My doctor had me hold steady until side effects settled. My doctor had me hold steady until side effects settled.

Just wanted to say, How's your energy been lately. Down 3 lbs since my last shot, slow and steady. This community is the best. Everyone's different of course.

The mental side is harder than people admit. Sending good vibes your way. Definitely run it by your own prescriber though.

Same here, Keep going, seriously. Plateaus are the worst, hang in there. (Not medical advice, just my own experience.)

Reading this and How are you handling the injection-day fatigue. Protein first at every meal has been my golden rule.

Just wanted to say, You're doing amazing. Just hit my first 20 lbs and I can't believe it. Keep us posted!