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c/sideeffects·submitted 2 months ago by u/laila_delgado

reflux — 18 things I got wrong before I got it right

Resolvedbranch of 18 comments

reflux — 18 things I got wrong before I got it right, and I am aware this is a minority view on this board. Bought four different things to fix my nausea. What actually worked was eating half as fast. The fatigue turned out to be that I was eating about a third of what I thought I was. Tracked it for a week and the…

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18 comments, started 2 months ago
u/tomas_broberg128 points·2 months ago

Mine settled at week 62 and has not come back since, across two more steps.

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u/ahmed_rasmussen33 points·2 months ago·edited

Mine settled at week 62 and has not come back since, across two more steps.

Adding to this — holding the dose rather than stepping is the option people forget they have.

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u/adaeze_brandt8 points·2 months ago

Is it every week or did it start at a particular dose?

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u/karma_irrelevant-10 points·2 months ago

Not convinced by that mechanism. Slowed gastric emptying explains fullness and reflux; it does not explain what you are describing.

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u/diego_sorensen1 point·2 months ago

hair shedding follows the weight loss, not the drug, and it stops

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u/laila_delgadoOP1 point·2 months ago

That symptom is not the one being described upthread. Two different things with similar names and the answers are not interchangeable.

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u/ahmed_rasmussen1 point·2 months ago

reflux at night, try not eating in the three hours before bed

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u/laila_delgadoOP1 point·2 months ago

Small fix — the shedding follows the rate of weight loss, not the compound, and it is temporary.

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u/karma_irrelevant1 point·2 months ago

This. A bad fortnight after a step is expected. A bad quarter is a reason to talk to somebody who knows your history.

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u/leila_silva1 point·2 months ago

nobody warns you about how much of this is timing rather than dose

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u/ferran_krastev1 point·2 months ago

reflux for the first eight days after each step, then nothing, every single time. Predictable enough that I started planning my week around it.

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u/zaid_balogun1 point·2 months ago

The effect on gastric emptying is most pronounced early and attenuates with continued dosing, which is the mechanism behind the "it settles at a stable dose" pattern the whole board reports.

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[removed]93 points·2 months ago

[removed by moderator]

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u/rania_marchand24 points·2 months ago

smaller meals, earlier, is the boring advice that works

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u/cormac_danquah7 points·2 months ago

sulphur burps are unpleasant and they are not dangerous

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u/laila_delgadoOP5 points·2 months ago

sulphur burps are unpleasant and they are not dangerous

cormac_danquah is right about the timing. The day-of-week pattern is the diagnostic bit, not the severity.

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u/idris_iyer49 points·2 months ago

Correction: that is a known effect of reduced intake rather than a direct drug effect. The distinction matters because the fix is different.

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u/constipation_clubside effects32 points·2 months ago

sulphur burps on day two and gone by day four is the standard shape

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