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

[PSA] constipation is not what most of this community thinks it is

PSA Cold Box ×6

The one-line version is the title: constipation is not what most of this community thinks it is. The rest is why.

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

The pattern almost everyone here describes, written out once so it can be linked.

A step up is followed by a rough window — commonly muscle cramps 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.

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.

Research-use-only material is not approved for human use and nothing here should be read as a recommendation to use it.

758 up / 31 down96% upvoted50 commentsid p3hpjh18 Feb 2024

50 comments

24 in this archive, depth 5

best — the order this archive was captured in

u/bastian_eriksen181 points·2 years ago

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.

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u/milan_villalobosOP121 points·2 years ago

Nobody warned me about early fullness and I would have liked the warning. It was not dangerous, it was just deeply unpleasant and completely unexpected.

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u/clara_weiss27 points·2 years ago

Same pattern here. It settled at a stable dose without me doing anything clever.

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u/kavya_kravchenko113 points·2 years ago

Severe, or unpleasant? They are genuinely different questions and the answers diverge.

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u/marit_coelho108 points·2 years ago

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.

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u/rohan_steiner0 points·2 years ago

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.

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u/elin_lindqvist65 points·2 years ago

Agreed. Slowing down at meals did more for my nausea than everything I bought to fix it, which was embarrassing to discover.

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u/iman_falk18 points·2 years ago

Agreed.

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

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u/milan_villalobosOP32 points·2 years ago

sulphur burps are unpleasant and they are not dangerous

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u/nabila_ogunleye49 points·2 years ago

That symptom is not the one being described upthread. Two different things with similar names and the answers are not interchangeable.

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u/zeynep_zielinski16 points·2 years ago

Which day of the week relative to the shot does it hit?

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u/ilias_cabrera40 points·2 years ago

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

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u/graph_it_gary37 points·2 years ago

Mine settled at week 50 and has not come back since, across two more steps.

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u/constipation_clubMOD19 points·2 years ago

Left up. It is a description of one person’s week and it is flagged as such.

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u/ferran_dahlberg7 points·2 years ago

This. A bad fortnight after a step is expected. A bad quarter is a reason to talk to somebody who knows your history.

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u/piotr_bruun2 points·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/sanne_laurent2 points·2 years ago

reflux at night, try not eating in the three hours before bed

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u/milan_villalobosOP4 points·2 years ago·edited

What is intake actually looking like — fibre and water especially?

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u/liv_vukovic3 points·2 years ago

Small fix — the shedding follows the rate of weight loss, not the compound, and it is temporary.

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u/chidi_demir9 points·2 years ago

write down when it starts and stops, the pattern is the useful part

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[removed]27 points·2 years ago

[removed by moderator]

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u/coring_the_stopper11 points·2 years ago

the food noise going quiet is the effect people came for, and sulphur burps are the toll for the first fortnight

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u/halima_mbeki8 points·2 years ago

Has anything else changed in the same window?

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u/rekha_mbeki4 points·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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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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