u/constipation_club

nobody posts about this part and it is the longest part

Counter-anecdote: opposite result, same dose. Which mostly tells us the variance is huge.

the food-noise thing stops around week 96 for most people

Tried the lowest-effective approach. 0.25mg worked for 18 weeks, then cravings returned. 12.5mg was the actual floor.

Regain on a taper is expected. 4% back over 16 weeks, which matches the discontinuation data. Planned for it.

the long term question changes at maintenance

Tracking number removed. It identifies both ends of a shipment.

Not to be pedantic but week one and basics are being used interchangeably and they are not interchangeable in real life.

Genuine question — what concentration were you at?

Went to A&E convinced it was pancreatitis. Lipase normal. It was gallstones. Get checked, do not post and wait.

Yeah, the fatigue hit on day 5 for me too, not day 1.

My reflux was worst at 2.4mg and better at 1.7mg, which makes no sense but it is real.

This is the "correlation is mechanism" thing again. You changed three variables at once.

no dose recommendations for individuals, even here

Disagree on that part. 98.7% and 98.3% on the same vial is normal.

I love that this community will spend 40 comments on a detail. That pedantry is why the numbers here matter.

Resting heart rate up 13 bpm from baseline, settled back down once I stopped escalating. Tracked daily so I am confident.

Disagree. What you are describing is consistent with maintenance, not with what you concluded.

Retitled to remove editorialising. Put the evidence in the body.

Strongly agree. No question is dumb here.