nobody warned me about food noise and I would have liked the warning
nobody warned me about food noise and I would have liked the warning. I have gone back and forth on this for months.
Hair shedding after significant weight loss is a telogen effect that follows the rate of loss. It is not specific to these compounds and it resolves.
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.
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.
Research-use-only material is not approved for human use and nothing here should be read as a recommendation to use it.
best — the order this archive was captured in
On buying things to fix side effects, which I did extensively and would not do again.
The interventions that changed anything for me were all behavioural and free: smaller meals, eating slower, stopping food a few hours before sleep, more fibre and considerably more water. The things I bought did nothing I could detect, and I was motivated to detect something.
The other lever, which people forget, is time at dose. Holding rather than stepping is a legitimate plan and it fixed my tolerance where nothing else did.
How long after a step up did this start?
What is intake actually looking like — fibre and water especially?
the reflux that arrives at week 32 out of nowhere is usually something else
reflux at night, try not eating in the three hours before bed
Right, and the hair thing is worth repeating: it tracks the rate of loss rather than the compound, and it stops.
nobody warns you about how much of this is timing rather than dose
hair shedding follows the weight loss, not the drug, and it stops
Small fix — the shedding follows the rate of weight loss, not the compound, and it is temporary.
Correction: that is a known effect of reduced intake rather than a direct drug effect. The distinction matters because the fix is different.
write down when it starts and stops, the pattern is the useful part
Disagree. Severe abdominal pain is not on the list of things to wait out, and this board should not be treating it as one.
That symptom is not the one being described upthread. Two different things with similar names and the answers are not interchangeable.
sulphur burps are unpleasant and they are not dangerous
if it is severe or persistent that is a clinician question, not a board question
Agreed. Slowing down at meals did more for my nausea than everything I bought to fix it, which was embarrassing to discover.
Correcting my own comment above: I said day three and my log says day two. Same pattern, wrong day.
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.
nausea for the first eight days after each step, then nothing, every single time. Predictable enough that I started planning my week around it.
smaller meals, earlier, is the boring advice that works
Mine settled at week 30 and has not come back since, across two more steps.
eating slower does more than most of the supplements people recommend
a rough fortnight at each step is normal, a rough three months is not
Constipation is mostly reduced intake plus reduced fluid, not a direct effect. That is why the boring fibre and water answer keeps working.
Agreed on writing it down. I could not see the pattern until I had six weeks of it on one page.
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fibre and water before you buy anything to fix it
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.
Careful with the supplement recommendation. There is no evidence for it here and the mechanism you are proposing does not hold.
- 1Right, and the hair thing is worth repeating: it tracks the rate of loss…8 comments in this branch · started by u/enzo_danquah
- 2sulphur burps are unpleasant and they are not dangerous8 comments in this branch · started by u/halima_mbeki