Constipation flared up again today, need ideas

I had the same wave pattern on liraglutide before I moved up past 1.2, and what finally broke it for me was coffee in the morning plus actually eating breakfast instead of skipping it while chasing my protein goal. Down 62 lbs now and the rough days mostly vanished once I stopped letting my gut sit empty too long. Timing of fiber seemed to matter more than the amount, for what it's worth.

The wave pattern is so real, mine used to hit like clockwork every third day too. What finally got me regular was a walk after dinner plus splitting my fiber across the day instead of loading it all at one meal -- only 9 lbs in so far but the gut stuff settled way down once I stopped skipping breakfast.

I'm down 60-something lbs and the thing that finally smoothed out my every-few-days cycle was magnesium at night plus moving breakfast earlier -- skipping meals was making mine way worse. Worth seeing if eating more consistently changes the pattern for you too.

Only a few lbs in myself but mine eased up once I stopped letting the whole day pass without real food. A small morning meal plus hot tea got things moving when the rough days hit, might be worth testing with your wave pattern.

Same wave pattern here on Saxenda, and the biggest change for me was not letting long gaps happen between meals -- plus coffee in the morning instead of tea did the trick on the rough days. Magnesium at night is what a lot of folks swear by too, though I haven't tested it myself yet. Hang in there, mine settled down once the eating schedule got boringly consistent.

The wave pattern matched mine too until I started treating a morning walk like part of the routine - about 20 minutes after breakfast seems to trigger things within the hour on rough days. I also added kiwi in the evening on top of the fiber, which sounds weird but made a noticeable difference for me at the 38 lb mark. Worth a shot if the meal-timing stuff alone doesn't fully settle it.

Magnesium was the missing piece for me back on 1.0 -- I take it before bed and mornings got way more predictable within a few days. Worth asking your doc about it if the food-timing and walk stuff doesn't fully sort you out.

The waves did eventually smooth out for me somewhere past the 60 lb mark, but what got me through the rough days early on was prunes with my evening meal plus not skipping breakfast even when I wasn't hungry. Slowing the dose escalation also seemed to give my gut time to catch up, for whatever that's worth.

Coffee on an empty stomach before the walk is what finally got things regular for me around the 15 lb mark. The kiwi suggestion from above is worth trying too, my gut took a while to settle at 1mg and it was rougher some days than others for the first couple months.

For me it was adding a kiwi or two a day plus coffee first thing before eating, around the 30 lb mark things finally got regular. The waves you're describing lasted a good six weeks for me before settling down, so hang in there.