thats not a chat question
#side-effects 2026-06-20
Saturday72 messages11 participantstimes are UTC
Highlights from this day
- slow.taper — while im here genuine question, at what point does this stop being tolerable and start being a reason to stop 20:49
- batch_bandit — nausea is usually worst somewhere in the first 24 to 72 hours after the dose and then eases, ask me again in a month 22:11
- pbs_pip — magnesium citrate worked for me where oxide did nothing. that might just be absorption 22:55
the burps started at 10 and not before, has anyone else had that
sorry to jump in right upper side pain on and off for a week, should i be worried
new severe right upper quadrant pain after fast weight loss is a get seen situation, we shall see
how do you cope with the smell of food when nothing is appealing
reflux getting worse is documented enough that it is worth mentioning to a prescriber
my resting heart rate went up a few bpm and stayed there. worth logging from baseline
while im here genuine question, at what point does this stop being tolerable and start being a reason to stop
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the shed usually starts month three to four and usually stops. it tracks how fast you are losing, we shall see
follow up coming back after 17 months off: do the side effects reset
week 8 and still nauseous, at what point is this not going to settle
i had gallstones confirmed on a scan after losing quickly. slow down if you can
water first
anyone get properly wiped out for a day or two after the dose
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i keep a one line note per day. it is the only way i could see the pattern
hiccups. every single time. why
while im here if you are under 1000 calories by accident that is a problem, not discipline
electrolytes made more difference to my fatigue than anything else i tried
unrelated but the dose day matters more than the dose for the GI stuff, at least for me, your mileage will differ
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follow up eating small and often was the only thing that made the first month liveable for me, take that with a pinch of salt
the sulphur burps seem to track fatty meals for a lot of people here, including me, ymmv
taste changes settled for me around week eight and never fully came back
right so update from 23 months ago: the nausea did settle, around week seven, completely
nobody here can tell you whether a symptom is serious. we can tell you the ones that are always worth checking
| Step | What | Give it |
|---|---|---|
| 1 | water, properly, all day | 3 days |
| 2 | soluble fibre | 4 days |
| 3 | magnesium | 3 days |
| 4 | stool softener | 3 days |
| 5 | pharmacist | now |
it got better for me
dose day = d0
0.25mg nothing much
0.50mg d1-d2 mild
1.00mg d1-d3 moderate
1.70mg d1-d2 moderate, d4 fine
2.40mg d1 rough, gone by d3im at week 16 and eating maybe 900 calories without trying to, is that a problem
dropping back a rung for a fortnight is a completely legitimate move, still working it out
sorry youre having a rough one
is it the dose or the escalation that causes the nausea
| Step | What | Give it |
|---|---|---|
| 1 | water, properly, all day | 3 days |
| 2 | soluble fibre | 4 days |
| 3 | magnesium | 3 days |
| 4 | stool softener | 3 days |
| 5 | pharmacist | now |
water first, then fibre, then magnesium, then a softener, then a pharmacist. in that order
ok so has anyone had a side effect that got worse at a lower dose
that settles
do you drop back a dose for side effects or push through
powering through is how people quit entirely. reducing is how people stay on it
if a side effect is new and severe rather than familiar and annoying, that is the line, not advice obviously
a lot of what people call fatigue on this stuff turns out to be dehydration or undereating
sulphur burps. is there anything at all that helps
my resting heart rate is up about 3 bpm, is that a known thing
is there a reason nausea is worse if i skip breakfast
how long did it take for the GI stuff to actually settle for you
dont push through
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nausea is usually worst somewhere in the first 24 to 72 hours after the dose and then eases, ask me again in a month
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my injection site itched for three days, normal
dropping back a rung for a fortnight is a completely legitimate move
drop a rung
protein and iron are worth checking if the hair thing is dragging on past six months
what did your gallbladder symptoms actually feel like before it got diagnosed
fibre before pills
magnesium
let the alcohol dry before you inject. that alone fixes a lot of the stinging
if you have stopped enjoying food entirely and are not eating, say so, we will help you build meals
hope it settles
please get seen
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rotate the site
it does stop
escalation is when most of the trouble happens, not the absolute dose
day two is the worst
[edited]let the swab dry
site itching is common and rotation fixed it for most people i have seen post about it, i could be wrong
is the nausea meant to be worst around day 5 or is that just me
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i lost my gallbladder in 2024 and i tell people that not to frighten them but because slowing down is free
magnesium citrate worked for me where oxide did nothing. that might just be absorption
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Purity check: no report on file for lot A-2418. Nothing logged either way.
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same at week 3
dropping back a rung for a fortnight is a completely legitimate move
powering through is how people quit entirely. reducing is how people stay on it
anyone had the fatigue turn out to be something boring like not drinking enough
ginger did nothing for me and worked for two other people here. thats where the evidence is at
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dropping back a rung for a fortnight is a completely legitimate move
protein
if a side effect is new and severe rather than familiar and annoying, that is the line
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severe persistent pain radiating to the back, or repeated vomiting you cannot keep water down through, is not a chat question
do you tell your prescriber about the small stuff or only the big stuff