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c/sideeffects·posted 7 days ago by u/britt_abubakar

[PSA] severe abdominal pain is not a forum question

PSA Cold Box ×1 Slow Clap ×3

Short public-service post: severe abdominal pain is not a forum question.

Held the dose for an extra six weeks instead of stepping. The sulphur burps settled and I lost the same amount anyway.

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 mystery evaporated.

Nobody warned me about fatigue and I would have liked the warning. It was not dangerous, it was just deeply unpleasant and completely unexpected.

Sceptical readings welcome. The confident ones are the ones I distrust.

1,878 up / 176 down91% upvoted19 commentsid 1cyorx23 Jul 2026

19 comments

10 in this archive, depth 3

best — the order this archive was captured in

u/blunt_coldbox_2024212 points·6 days ago

Keeping a log, and what to put in it.

One line a day: dose, day since injection, what the symptom was and how bad out of five, and roughly what you ate. Two months of that fits on one page and the pattern is obvious on paper in a way it never is in your head.

Mine showed a clean day-two-to-day-four window I had been describing as "random". Once you can see the pattern you can plan around it, and planning around it is most of the relief.

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u/britt_abubakarOP-29 points·6 days ago

the first fortnight after a step is the worst of it, then it settles

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u/emil_barros1 point·5 days ago

reflux on day two and gone by day four is the standard shape

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u/britt_abubakarOP155 points·6 days ago

Keeping a log, and what to put in it.

Agreed, with the caveat that "usually settles" is not "always settles" and the exceptions should still get asked about properly.

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u/ayesha_erdogan168 points·5 days ago

Nothing in this thread is medical advice, including this comment. I am describing a mechanism, not telling anybody what to do about their own week.

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[deleted]66 points·5 days ago

[deleted]

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u/sofia_wikstrom135 points·5 days ago

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

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u/isabela_nilsen124 points·5 days ago

Kept a one-line-a-day log for two months. The pattern was obvious on paper and invisible in my head.

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u/britt_abubakarOP73 points·5 days ago

What is intake actually looking like — fibre and water especially?

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u/quiet_moderatormod41 points·4 days ago·edited

What is intake actually looking like — fibre and water especially?

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

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About c/sideeffects

Side-effect experience and management, with a strong bias toward the ones that are common and boring (nausea, constipation, reflux, fatigue, sulphur burps) and a hard line on the ones that are not (severe abdominal pain, persistent vomiting, jaundice, vision changes). This community is not a substitute for urgent care and the mods will say so bluntly.

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