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c/sideeffects·posted 2 years ago by u/zeynep_zielinski

small win: sulphur burps stopped being a problem at week 55

Management Cold Box ×5

small win: sulphur burps stopped being a problem at week 55. Numbers below. Ask me the boring questions, they are the useful ones.

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.

Bought four different things to fix my nausea. What actually worked was eating half as fast.

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

875 up / 267 down77% upvoted31 commentsid nzjarl15 Apr 2024

31 comments

24 in this archive, depth 4

best — the order this archive was captured in

u/iman_falk67 points·2 years 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/lina_dziedzic56 points·2 years ago

Most of the common complaints trace back to slowed gastric emptying — early fullness, reflux, nausea after a large or fatty meal.

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/blunt_coldbox_202422 points·2 years ago

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

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u/adnan_karlsen6 points·2 years ago

Has anything else changed in the same window?

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u/zeynep_zielinskiOP3 points·2 years ago

food noise for the first eight days after each step, then nothing, every single time. Predictable enough that I started planning my week around it.

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u/slow_logbook_ftw2 points·2 years ago·edited

if it is severe or persistent that is a clinician question, not a board question

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u/zeynep_zielinskiOP14 points·2 years ago

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

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u/cesar_oyelaran7 points·2 years ago

How long after a step up did this start?

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u/ipamorelin_i35 points·2 years ago

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.

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[removed]25 points·2 years ago

[removed by moderator]

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u/lina_dziedzic12 points·2 years ago

Hair shedding after significant weight loss is a telogen effect that follows the rate of loss.

ipamorelin_i is right about the timing. The day-of-week pattern is the diagnostic bit, not the severity.

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u/plain_titration_20243 points·2 years ago

a rough fortnight at each step is normal, a rough three months is not

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u/constipation_clubside effects-21 points·2 years 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/zeynep_zielinskiOP1 point·2 years ago

fibre and water before you buy anything to fix it

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u/slow_logbook_ftw1 point·2 years ago·edited

Correcting my own comment above: I said day three and my log says day two. Same pattern, wrong day.

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u/idris_iyer1 point·2 years ago

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

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u/chidi_demir1 point·2 years ago

sulphur burps are unpleasant and they are not dangerous

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u/tl_dr_tina1 point·2 years 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/cesar_oyelaran1 point·2 years ago

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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u/plain_titration_20241 point·2 years 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/nausea_notesMOD23 points·2 years ago

This one needs a clinician rather than a comment section, and we have said so in the thread rather than removing it.

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u/long_post_larry6 points·2 years 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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u/signe_villalobos1 point·2 years ago

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

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u/food_noise_gonemaintenance1 point·2 years ago

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

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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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