Side effects

Fatigue on GLP-1 — is this normal at week 2?

Started by JasonRuiz · May 06, 2026 · 40 replies · 178 views
May 06, 2026 #1
I'm a nurse and I want to share a clinical perspective on the GI side effects. What's happening in your gut during the first few weeks is the medication slowing gastric emptying significantly. This is by design — it's the mechanism that creates satiety. The nausea is your body adjusting to this new normal. It gets better as your body adapts.
May 06, 2026 #2
Just wanted to say, The mental side is harder than people admit. This is huge. I stayed on the starter dose an extra month and it was the right call. So glad I'm not alone in this.
May 13, 2026 #4
Adding my two cents: Just hit my first 20 lbs and I can't believe it. Been there, it does get easier I promise. Sending solidarity, this part is genuinely hard. So glad I'm not alone in this.
May 13, 2026 #5
Honestly, Been there, it does get easier I promise. Bumped up to the next dose this week and feeling good. Rooting for you. Definitely run it by your own prescriber though.
May 15, 2026 #6
Coming back to this thread, Everyone titrates differently, listen to your own body. I keep a food and weight log to spot the trends, not the daily noise. Keep us posted!
May 15, 2026 #7
Scale didn't move but my rings fit again. I keep a food + weight log to spot the trends, not the daily noise. Rooting for you. Definitely run it by your own prescriber though.
May 22, 2026 #8
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.
Jun 06, 2026 #14
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.
Jun 08, 2026 #16
Coming back to this thread — Meal-prepping kept me from grazing on bad days. Ugh I felt exactly the same way at that stage. Plateaus are the worst, hang in there. Onward!
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