anyone else notice fatigue kicking in around week 46
anyone else notice fatigue kicking in around week 46. Full detail below, and I have tried to keep the editorialising out of it. Constipation is mostly reduced intake plus reduced fluid, not a direct effect. That is why the boring fibre and water answer keeps working. The effect on gastric emptying is most pronounced…
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.
On buying things to fix side effects, which I did extensively and would not do again.
This is the shape almost everybody here describes, and it is the single most reassuring thing in the thread.
write down when it starts and stops, the pattern is the useful part
Small fix — the shedding follows the rate of weight loss, not the compound, and it is temporary.
smaller meals, earlier, is the boring advice that works
if it is severe or persistent that is a clinician question, not a board question