GI protocol: what to eat to minimize side effects

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.

Same here — What's your current titration schedule looking like. This community is the best. (Not medical advice, just my own experience.)

For what it's worth, Sending solidarity, this part is genuinely hard. So glad I'm not alone in this. Everyone's different of course.

Just wanted to say, Hydration made a bigger difference than I expected. Hydration made a bigger difference than I expected. Smaller portions on shot day kept the GI stuff manageable. Hang in there.

Following along, Fatigue hit hard on my first dose bump, more protein fixed it. Did your appetite come back at all on the higher dose. You're doing amazing.

Just wanted to say, Fatigue hit hard on my first dose bump, more protein fixed it. Thanks for sharing this. Definitely run it by your own prescriber though.

Coming back to this thread — This made my day to read. Constipation was my big one — magnesium at night helped a ton. Hang in there. Everyone's different of course.

Just wanted to say, I learned not to lie down right after eating. Hang in there.

The protein-first approach is the single best nutrition change I made. Before any carbs or fats, get your protein in. It works synergistically with the medication to preserve muscle while you're in a deficit.

The compounding question comes up a lot here. My take after 8 months: the quality varies enormously. The COA is your friend — if a vendor won't provide a third-party tested certificate of analysis, that's a red flag. I've had good results with a local 503B pharmacy that does quarterly testing.

For what it's worth, Sending solidarity, this part is genuinely hard. The sulfur burps almost made me quit, slowing down eating helped. This community is the best. (Not medical advice, just my own experience.)

The compounding question comes up a lot here. My take after 8 months: the quality varies enormously. The COA is your friend — if a vendor won't provide a third-party tested certificate of analysis, that's a red flag. I've had good results with a local 503B pharmacy that does quarterly testing.

For what it's worth, Plateaus are the worst, hang in there. Are you pairing it with any walking or strength work. Keep going, seriously. Onward! Everyone's different of course.

For the nausea: small meals, no greasy food, ginger tea, and Zofran if your doctor will prescribe it. The first 4-6 weeks are the hardest. Everything gets better after that point in almost every case I've seen in this forum.

Just wanted to say, Sending good vibes your way. You're doing amazing. You're not alone in this, so many of us have been there. You've got this. Everyone's different of course.

Following along, Stay the course. This is huge.

Coming back to this thread — Ginger tea and tiny meals saved me through the early weeks. Did you split your dose or take it all at once. Keep us posted!

You've got this. How's your energy been lately.

For what it's worth, How are you finding the higher dose so far. Hang in there.

Coming back to this thread — This is huge. Plateaus are the worst, hang in there.