my TSH moved and I cannot work out whether sulphur burps are why
my TSH moved and I cannot work out whether sulphur burps are why. Change my mind, genuinely — I have no stake in being right about this.
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.
Kept a one-line-a-day log for two months. The pattern was obvious on paper and invisible in my head.
The pattern almost everyone here describes, written out once so it can be linked.
A step up is followed by a rough window — commonly food noise 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.
Screenshot none of this. Read the whole thread, including the parts where I am told I am wrong.
best — the order this archive was captured in
Constipation is mostly reduced intake plus reduced fluid, not a direct effect. That is why the boring fibre and water answer keeps working.
Reflux was the one that got me. Stopped eating in the three hours before bed and it went from nightly to almost never.
Reflux was the one that got me.
This is the shape almost everybody here describes, and it is the single most reassuring thing in the thread.
fatigue plus low intake is usually just low intake
Small fix — the shedding follows the rate of weight loss, not the compound, and it is temporary.
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.
Bought four different things to fix my early fullness. 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 it is severe or persistent that is a clinician question, not a board question
Held the dose for an extra six weeks instead of stepping. The fatigue settled and I lost the same amount anyway.
Has anything else changed in the same window?
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.
a rough fortnight at each step is normal, a rough three months is not
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 20 probably does not, and that is worth saying to a clinician rather than to us.
This. A bad fortnight after a step is expected. A bad quarter is a reason to talk to somebody who knows your history.
muscle cramps on day two and gone by day four is the standard shape
Same pattern here. It settled at a stable dose without me doing anything clever.
sulphur burps are unpleasant and they are not dangerous
Same pattern here.
step_therapy_s is right about the timing. The day-of-week pattern is the diagnostic bit, not the severity.
Disagree. Severe abdominal pain is not on the list of things to wait out, and this board should not be treating it as one.
Are you eating in the couple of hours before you sleep?
smaller meals, earlier, is the boring advice that works
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.
Correction: that is a known effect of reduced intake rather than a direct drug effect. The distinction matters because the fix is different.
Yes. Holding the dose is a real option and it does not mean you have failed at anything.
Yes.
Agreed, with the caveat that "usually settles" is not "always settles" and the exceptions should still get asked about properly.
What is intake actually looking like — fibre and water especially?
- 1muscle cramps on day two and gone by day four is the standard shape12 comments in this branch · started by u/quiet_moderator
- 2Most of the common complaints trace back to slowed gastric emptying — early…8 comments in this branch · started by u/ferran_krastev