[Discussion] reflux is doing more work than we give it credit for
reflux is doing more work than we give it credit for. It is the sort of thing everyone half-believes and nobody writes down. 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.…
Severe or persistent abdominal pain sits outside the pattern this board can usefully discuss. The honest answer there is that it needs someone who can examine you.
if it is severe or persistent that is a clinician question, not a board question
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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Disagree. Severe abdominal pain is not on the list of things to wait out, and this board should not be treating it as one.
Small fix — the shedding follows the rate of weight loss, not the compound, and it is temporary.
This. A bad fortnight after a step is expected. A bad quarter is a reason to talk to somebody who knows your history.
the first fortnight after a step is the worst of it, then it settles
This.
Adding to this — holding the dose rather than stepping is the option people forget they have.
Correction: that is a known effect of reduced intake rather than a direct drug effect. The distinction matters because the fix is different.