[Management] the only three things that helped my constipation, ranked

the only three things that helped my constipation, ranked. It is the sort of thing everyone half-believes and nobody writes down.

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

The pattern almost everyone here describes, written out once so it can be linked.

A step up is followed by a rough window — commonly constipation arriving the day after the shot and easing by day four, worst in the first fortnight, then flattening out. At a stable dose it usually settles further. Constipation and fatigue tend to track intake and fluid rather than the compound directly, which is why the unglamorous answers work.

What sits outside that pattern: severe pain, symptoms that appear from nowhere weeks into a stable dose, or anything getting worse rather than better over a month. None of that is a board question and none of us can answer it for you.

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.

I will update this if the picture changes rather than quietly leaving it up.