The constipation since starting has been the worst part of my journey, honestly worse than any appetite stuff, and I am down 26 lbs so I do not want to quit over this. I have tried upping water and adding some fiber with mixed results. What has actually worked for you all to keep things moving while on this med?
Constipation is brutal, what actually helped?
Constipation was my worst one too - magnesium citrate at night plus literally doubling my water intake finally got things moving for me around week three. The fatigue and constipation stacking together made me want to quit, but once the GI stuff settled I felt human again and the scale kept dropping anyway.
The post-meal walks made a real difference for me too, especially in that early stretch when I was about where you are now. I also cut back on cheese and that alone seemed to help more than the fiber gummies I was taking. Worth a shot before you write off the med.
Magnesium citrate at night plus a big glass of water before bed was what finally got things moving for me too. I also stopped skipping the fiber when appetite dropped hard, even a handful of berries helped. Sixty-some pounds down and I still keep the mag on the nightstand.
Got hit hard with this early on too, around when I was 15ish lbs down, and miraLAX on rough days plus kiwi most mornings got me through without quitting. I also noticed my scale stalls line up with bad constipation weeks, so staying on top of it helped both problems. Echoing the dairy thing, cheese was my biggest culprit by far.
Cutting way back on dairy was the big one for me, plus kiwi and prunes most days. I am only 8 lbs in on Zepbound so I might be behind you, but a short walk after dinner keeps things moving better than anything else I have tried.
Magnesium citrate at night plus a daily walk was the combo that finally got things moving for me. I also noticed the constipation got way worse whenever I slacked on water, which was rough since my appetite is basically gone at 34 lbs down. Miralax on the bad days kept me from giving up on the med entirely.
Down 41 on Trulicity and I still keep a stash of dried prunes and coffee for the mornings nothing's moving. Cutting way back on cheese was the single biggest fix for me, plus a big glass of water first thing before anything else. Give the magnesium a real two weeks before judging it, mine was slow to kick in too.
Constipation wrecked me around the same stretch, 35 lbs in and I still keep a big water bottle and some magnesium going daily to keep things moving. Walking after meals helped more than I expected too. The fatigue thing tracks, extra protein pulled me out of that slump as well.
Magnesium citrate at night was the game changer for me too, took about a week to really kick in but now I'm regular for the first time since starting Zep. Also second the post-dinner walk thing, even 15 minutes around the block seems to wake my gut up. Don't quit over this, it does get manageable once you find your combo.
Magnesium citrate at night was the only thing that moved the needle for me, plus I had to actually track water because I thought I was drinking enough and was way off. Took about three days to kick in but it's been steady since.
Barely a month in myself and already learned the hard way that fiber without enough water just made things worse, so now I do a full glass with every dose of the stuff plus a morning coffee to get things going. Cutting my cheese habit helped more than I expected too. Glad you're sticking it out at 26 down, that's real progress worth fighting for.
Kiwis and my morning coffee were the only things that saved me, plus not letting more than a day go by without trying. Once I got into a rhythm things calmed down even as my dose went up.
A daily walk made a bigger difference for me than anything I ate or drank, even short ones around the block. Only about 9 lbs in so far but the constipation was my first real wall too, and magnesium plus moving more is what got me past it.
Kiwis were the game changer for me too, two a day on 7.5 keeps me regular even in the Vegas dry heat where I was chugging water and still stuck. Worth trying before anything fancier.
I'm way further along now and constipation still flares up when I slack on fiber, so kiwis plus a daily walk became my non-negotiable. Magnesium at night helped me too, worth asking your doc if it fits. The fatigue part gets better, my energy came back once the protein habit stuck.
Mag citrate before bed was my missing piece too, plus I stopped letting myself skip the bathroom routine even on busy mornings. Down 29 lbs on reta and I had the same moment where this felt like the dealbreaker, but once I got regular it stopped being a daily fight.
Two kiwis a day plus magnesium citrate at night is what finally unstuck me around the 30 lb mark too, after months of just chugging water and wondering why nothing changed. The bathroom routine thing matters more than I expected either, my body basically needs the same time every morning or it forgets the plan.
Hot tea first thing in the morning got my system on a schedule, that plus prunes a few days a week is what keeps me moving at 11 lbs in. Still need way more water than I ever drank pre-med though.
The morning routine thing is real for me too, coffee plus sitting down at the same time daily did more than any fiber I added. Magnesium citrate at night was the other piece that finally helped around 20 lbs in after weeks of nothing working.