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c/sideeffects·posted 1 year ago by u/cesar_oyelaran

nobody warned me about sulphur burps and I would have liked the warning

Management Receipts ×9 Cold Box ×1 Clean Column ×1

nobody warned me about sulphur burps and I would have liked the warning — a position I have arrived at slowly and would like tested.

Mine settled at week 85 and has not come back since, across two more steps.

Reflux was the one that got me. Stopped eating in the three hours before bed and it went from nightly to almost never.

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

A step up is followed by a rough window — commonly muscle cramps 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.

Corrections welcome, especially the pedantic ones. Pedantry is how this board earns its reputation.

24,768 up / 18,315 down57% upvoted34 commentsid evfxlh12 Feb 2025

34 comments

30 in this archive, depth 6

best — the order this archive was captured in

u/iman_castellanos984 points·1 year ago

Most of the common complaints trace back to slowed gastric emptying — early fullness, reflux, nausea after a large or fatty meal. That is also why meal size and speed change the experience more than anything else.

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u/bastian_eriksen271 points·1 year ago·edited

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

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u/nausea_notesside effects648 points·1 year ago

I would be careful here. "Everyone gets this" is not true, and it makes the people who get something unusual assume they are fine when they should be asking.

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u/laila_delgado359 points·1 year ago

write down when it starts and stops, the pattern is the useful part

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u/brigade_detector445 points·1 year ago

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

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u/long_post_larry352 points·1 year ago

the food noise going quiet is the effect people came for, and nausea is the toll for the first fortnight

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u/kavya_kravchenko83 points·1 year ago

How long after a step up did this start?

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u/priya_weiss202 points·1 year ago

Pushback: you changed the dose, the meal timing and the training in the same fortnight, so the attribution is guesswork.

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u/aleksi_lehtinen142 points·1 year ago

Cosigning the fibre and water answer. Unglamorous, free, and it fixed it for me inside a week.

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u/cesar_oyelaranOP291 points·1 year ago

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

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u/amara_haddad64 points·1 year ago

Same pattern here. It settled at a stable dose without me doing anything clever.

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u/enzo_danquah34 points·1 year 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/cesar_oyelaranOP18 points·1 year ago·edited

sulphur burps are unpleasant and they are not dangerous

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u/marta_marchand9 points·1 year ago

sulphur burps are unpleasant and they are not dangerous

This is the shape almost everybody here describes, and it is the single most reassuring thing in the thread.

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[removed]13 points·1 year ago

[removed by moderator]

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u/ilias_cabrera5 points·1 year ago

Careful with the supplement recommendation. There is no evidence for it here and the mechanism you are proposing does not hold.

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u/adaeze_batista9 points·1 year ago

That reads like advice, and none of us can give it. Describe what you did, not what somebody else should do.

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u/laila_delgado38 points·1 year ago

fatigue plus low intake is usually just low intake

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u/emil_barros19 points·1 year ago

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

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u/nausea_notesMOD157 points·1 year ago

Left up. It is a description of one person’s week and it is flagged as such.

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u/food_noise_gonemaintenance105 points·1 year ago

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

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u/ilias_cabrera-27 points·1 year ago

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

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u/elin_trevino81 points·1 year ago

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.

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u/sanne_laurent81 points·1 year ago

holding a dose an extra month is a legitimate answer to bad tolerance

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u/lina_dziedzic55 points·1 year 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/sanne_laurent29 points·1 year ago

Yes. Holding the dose is a real option and it does not mean you have failed at anything.

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u/liv_vukovic52 points·1 year ago

Constipation is mostly reduced intake plus reduced fluid, not a direct effect. That is why the boring fibre and water answer keeps working.

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u/cesar_oyelaranOP41 points·1 year ago

fibre and water before you buy anything to fix it

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u/ahmed_rasmussen22 points·1 year ago

Right, and the hair thing is worth repeating: it tracks the rate of loss rather than the compound, and it stops.

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u/karma_irrelevant19 points·1 year ago

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

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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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