I was not skipping meals, I was following a protein-first eating structure, but portion sizes dropped on their own
It presents as: Puffiness in hands and feet, especially in the morning Tight-fitting rings or shoes that fit normally in the evening Mild facial bloating Weight gain of 2-5 pounds within the first 2 weeks that doesn't correlate with calorie intake The mechanism is two-part: Part 1: Vasopressin (ADH) release
The trajectory is steepening, not plateauing
If 10 mg produces excellent efficacy but borderline intolerable nausea, try 7.5 mg for 6 to 8 weeks to assess whether efficacy remains adequate with improved tolerability
But semaglutide might already be getting surpassed
if severe or concerning symptoms occur, seek urgent medical helpclinicians may advise withholding the medication Monitoring and communication: Keep a symptom diary to track the pattern, severity, and triggers of digestive symptoms Attend regular follow-up appointments with your GP or diabetes specialist nurse Report any new or worsening symptoms promptly Be aware of your individual risk factors for gastrointestinal complications, such as previous abdominal surgery or chronic digestive conditions If you experience reduced oral intake, contact your prescriber to review insulin or sulfonylurea doses to avoid hypoglycaemia [3] [16] Report suspected side effects via the MHRA Yellow Card Scheme (yellowcard