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#side-effects
Nausea, constipation, the month-four shed, and when to stop reading chat and see somebody.
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The GI window and how it moves, the magnesium-fibre-water-walk playbook, sulphur burps, early satiety and accidental undereating, the month three to four hair shed and its timeline, gallbladder risk with fast loss, and a clear line about which symptoms mean you stop asking a chat room and go and be examined.
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Red flags: severe persistent abdominal pain radiating to the back, repeated vomiting you cannot keep water down through, or new severe right upper quadrant pain. Those are not chat questions. Go and be seen.
The hair shed usually starts around month three to four and usually stops. It tracks the rate of loss more than the drug. Eat enough protein.
Order of operations for constipation: water, then fibre, then magnesium, then a stool softener, then talk to a pharmacist. Not the other way round.
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2026-06-30dropping back a rung for a fortnight is a completely legitimate move23 msgs · 7 people2026-06-29new severe right upper quadrant pain after fast weight loss is a get seen situation21 msgs · 4 people2026-06-27is the nausea meant to be worst around day 5 or is that just me37 msgs · 6 people2026-06-26nausea is usually worst somewhere in the first 24 to 72 hours after the dose and then eases64 msgs · 12 people2026-06-25same at week 372 msgs · 12 people2026-06-23sorry youre having a rough one15 msgs · 3 people2026-06-22is the nausea meant to be worst around day 8 or is that just me62 msgs · 13 people2026-06-21anyone get properly wiped out for a day or two after the dose61 msgs · 11 people2026-06-20thats not a chat question72 msgs · 11 people2026-06-19water first, then fibre, then magnesium, then a softener, then a pharmacist. in that order18 msgs · 6 people2026-06-18has anyone had reflux specifically get worse rather than better62 msgs · 14 people2026-06-16if you have stopped enjoying food entirely and are not eating, say so, we will help you build meals, still working it…16 msgs · 4 people2026-06-15update from 24 months ago: the nausea did settle, around week seven, completely29 msgs · 4 people2026-06-14do you tell your prescriber about the small stuff or only the big stuff64 msgs · 11 people2026-06-13powering through is how people quit entirely. reducing is how people stay on it27 msgs · 7 people2026-06-12follow up eating small and often was the only thing that made the first month liveable for me25 msgs · 7 people2026-06-10coming back to this is there a reason nausea is worse if i skip breakfast36 msgs · 8 people2026-06-08hope it settles20 msgs · 6 people2026-06-07ok so protein and iron are worth checking if the hair thing is dragging on past six months33 msgs · 8 people2026-06-06site itching is common and rotation fixed it for most people i have seen post about it70 msgs · 15 people2026-06-05if you are under 1000 calories by accident that is a problem, not discipline66 msgs · 13 people2026-06-04ok so i keep a one line note per day. it is the only way i could see the pattern53 msgs · 11 people2026-06-03protein and iron are worth checking if the hair thing is dragging on past six months42 msgs · 6 people2026-06-01everything tastes metallic since i went up, does that settle65 msgs · 10 people2026-05-31it does stop54 msgs · 11 people2026-05-30the shed usually starts month three to four and usually stops. it tracks how fast you are losing17 msgs · 3 people2026-05-29the dose day matters more than the dose for the GI stuff, at least for me38 msgs · 7 people2026-05-28let the alcohol dry before you inject. that alone fixes a lot of the stinging30 msgs · 6 people2026-05-27does eating before or after the injection make any difference31 msgs · 9 people2026-05-26electrolytes made more difference to my fatigue than anything else i tried, someone check my working35 msgs · 6 people
Threads spun off from this channel
eating small and often was the only thing that2026-06-30 · 5 msgsnausea is usually worst somewhere in the first 242026-06-22 · 15 msgsmagnesium citrate worked for me where oxide did nothing2026-06-10 · 8 msgsok so week 24 and still nauseous, at what2026-06-06 · 14 msgsthe shed usually starts month three to four and2026-05-16 · 11 msgspowering through is how people quit entirely. reducing is2026-05-09 · 9 msgsunrelated but a lot of what people call fatigue2026-05-08 · 6 msgsmy resting heart rate is up about 6 bpm2026-05-03 · 16 msgseating small and often was the only thing that2026-04-19 · 10 msgsprotein and iron are worth checking if the hair2026-04-09 · 16 msgsif a side effect is new and severe rather2026-03-20 · 16 msgsprotein and iron are worth checking if the hair2026-03-10 · 8 msgsis there a reason nausea is worse if i2026-02-06 · 11 msgsreflux getting worse is documented enough that it is2026-01-27 · 14 msgswhile im here water first, then fibre, then magnesium2026-01-25 · 16 msgsthats not a chat question2026-01-18 · 16 msgsanyone found the fatigue lifted when they fixed their2026-01-12 · 14 msgsmy resting heart rate is up about 6 bpm2026-01-03 · 12 msgsupdate from 4 months ago: the nausea did settle2025-12-04 · 8 msgssevere persistent pain radiating to the back, or repeated2025-12-01 · 12 msgshow do you cope with the smell of food2025-11-27 · 16 msgssorry to jump in dropping back a rung for2025-11-09 · 7 msgsmy resting heart rate is up about 9 bpm2025-11-01 · 9 msgssorry to jump in ginger did nothing for me2025-10-31 · 12 msgs