gallbladder: the version I wish someone had shown me in week 1
Here it is: gallbladder: the version I wish someone had shown me in week 1. One person, one log, no control group, so read it accordingly.
Bought four different things to fix my nausea. What actually worked was eating half as fast.
The fatigue turned out to be that I was eating about a third of what I thought I was. Tracked it for a week and the mystery evaporated.
If two or three other people have done the same thing we might actually learn something. Alone it is an anecdote.
best — the order this archive was captured in
The pattern almost everyone here describes, written out once so it can be linked.
A step up is followed by a rough window — commonly sulphur burps 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.
fatigue plus low intake is usually just low intake
That symptom is not the one being described upthread. Two different things with similar names and the answers are not interchangeable.
Kept a one-line-a-day log for two months. The pattern was obvious on paper and invisible in my head.
Are you eating in the couple of hours before you sleep?
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.
the first fortnight after a step is the worst of it, then it settles
Removed the specific recommendation. Describe your own experience here; do not tell another member what to take or what dose to be on.
smaller meals, earlier, is the boring advice that works
holding a dose an extra month is a legitimate answer to bad tolerance
nobody warns you about how much of this is timing rather than dose
nobody warns you about how much of this is timing rather than dose
Disagreeing with this one line: that symptom is not on the wait-and-see list and should not be posted as though it is.
Nobody warned me about constipation and I would have liked the warning. It was not dangerous, it was just deeply unpleasant and completely unexpected.
Severe, or unpleasant? They are genuinely different questions and the answers diverge.
Mine settled at week 11 and has not come back since, across two more steps.
A symptom that begins the day after the shot and fades by day four tracks the exposure curve. One that appears at random in week 89 probably does not, and that is worth saying to a clinician rather than to us.
if it is severe or persistent that is a clinician question, not a board question
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.
Constipation is mostly reduced intake plus reduced fluid, not a direct effect. That is why the boring fibre and water answer keeps working.
Which day of the week relative to the shot does it hit?
Which day of the week relative to the shot does it hit?
This is the shape almost everybody here describes, and it is the single most reassuring thing in the thread.
hair shedding follows the weight loss, not the drug, and it stops
eating slower does more than most of the supplements people recommend
eating slower does more than most of the supplements people recommend
Agreed, with the caveat that "usually settles" is not "always settles" and the exceptions should still get asked about properly.
eating slower does more than most of the supplements people recommend
tomas_lehtinen is right about the timing. The day-of-week pattern is the diagnostic bit, not the severity.
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