r/WegovyPillWeightLoss

Transitioning to 4mg

I have 4 more 1.5mg to go before I start my 4mg. The only major side effect I had when I started almost a month ago was pretty bad headaches. I'm wondering if for the rest of my 1.5mg I should alternate each day between the 1.5 and 4 until I'm out of 1.5 to maybe make the transition easier. Is this a good idea or will it just make the side effects last longer? Has anyone else done that?

Btw I only did 1.5mg for one month and it works for me, I've lost almost 9 pounds in less than a month. I figured if I'm paying $150 a month I'd like to increase quickly to 4mg, but I might stay at 4mg for a while since beyond that it gets more expensive.

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u/zclay123 — 1 day ago

Asking for experience advice?

Hi everyone!!

I’m 23 and started oral wegovy 0.25mg on the 1st of May. It’s now the end of May. I haven’t felt much of a difference. But my dr said she’s going to get me up to 4mg for the second month. I don’t know anything about wegovy so just asking if anyone else has made this jump? It seems like a large jump to me, but again I just wanted to see if anyone here has made a jump like this for the second month?

extra: 23yr 175lbs

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How to improve absorption time of other oral necessary medication?

I take amitriptyline in the evening as a migraine preventative, and that usually results in being sleepy at bedtime. However, at 4 mg, I am noticing that the sleepiness is not happening; and rather the opposite is happening. I’m finding it’s harder to fall asleep at all.

Also, when a severe episode strikes, oral meds are my tool to reduce migraine pain (primarily NSAIDs).

  1. does any else notice this delayed absorption effect on their normal oral medication?

  2. have you found anything to help when you need to more quickly absorb an oral medication?

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u/Nomadic_Reseacher — 1 day ago

Are you barfy with every titration up?

I just started 4mg this week after 6-7 weeks on 1.5mg. The side effects are rough again, specifically the nausea. Anyone have any words of wisdom on this? Did it happen for you as well? How long did it last?
I need some hope here. I’m finding I can’t eat anything without feeling like I’m going to throw up immediately (I don’t, because I hate throwing up so I suppress the urge).
I was a bit nauseated on 1.5mg initially. But not like this.
Oh, and the reflux is nasty.
Help!

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u/Beautiful-One-123 — 1 day ago

Wegovy pill and Levothyroxine - issues?

I'm starting the Wegovy pill tomorrow - I also take Levothyroxine - have been for years.

My doctor told me to take Wegovy first thing in the morning and wait for 30 minutes before taking the thyroid med. More importantly, he shared there are no issues with taking both.

Anybody had any problems/issues with the combination? Is there anything to watch out for?

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u/oregon_deb — 1 day ago
▲ 31 r/WegovyPillWeightLoss+2 crossposts

45 F SW:270 CW:255 ⬇️15 pounds. A1C 5.6 ⬇️.4

Update: Started 25mg pill today, I’m glad the kids last day of school is today and I WFH just in case 🤭. The pill size is huge compared to the others.

When I started 9mg I immediately felt the effects and for a few days stayed home as it cleansed me😂.

Follow-up with Dr. 05/18 and I’ve lost 15 pounds, A1-C improved from 6 in Feb to now 5.4 I’m happy about that.

BP is still a little elevated and I take 5mg Amlodipine for it and hoping to come off in the coming months.

My Achilles Tendonitis has improved a lot, ordered a treadmill and have started to walk more 😊. Lower back pain is gone.

My next follow-up is on 3 months, so I’ll be on 25 going forward and will update you all then. I hope I won’t have to many side effects, so far today 🤞🏽

u/bronzebmua — 2 days ago

Doubling up on 4mg dose until they run out?

I should have asked my doctor this but didn't think of it until after I just left her office. I could still message her office and ask but wanted to see if anyone here has tried it.

So, after 2 months on 4mg we finally decided to up the dosage to 9mg. Unfortunately I still have a whole unopened bottle of 4mg... would it hurt to just take two 4mg pills a day until the bottle is gone, then start taking the 9mg? Or should I just cut my loss and go straight to 9mg?

Edit: She did say it was up to me if I wanted to finish my bottle or start on the 9mg right away. I don't go back to see her for another 2 months.

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u/Driveshaft815 — 2 days ago

Where are the people that had no weight loss on the starter doses? Come to the front please.

I know this is a starter dose. Not my first rodeo on glp. I was on compounded semaglutide and lost nothing first two months. What helped me was hearing stories from people that had little to no loss the first month or two. I would love to hear about people that are faring similarly. It will help me feel patient and keep working on the lifestyle part while the medication kicks in. The food nose coming back has been rough. I had to begin from the very start. I feel especially at night I am ravenous.

I just want to add: for everyone who lost a bunch from the get go, I am happy for you too. It’s just good to hear all of the experiences.

TIA!

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u/Ketobae30 — 1 day ago

What are some differences you’ve noticed going from 1.5 to 4 mg?

I’m on month 2 and the Dr wanted to keep me on 1.5 for my second month , In a week I’ll be done with my 2nd month and hopefully will be going to 4 mg. The results have been slow and steady but I noticed month 1 was great and month 2 has been rather slower. I’ve had zero side effects thankfully.

To those that jumped to 4 mg, how is the weight loss progress? Do you notice it works better?

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u/xxDuality — 2 days ago

Half life for the pill?

Wondering what the half life is for the pill? Stopped taking 9mg after a week because it was too intense but I’m still feeling the effects. Can’t seem to find this info online. And the half life is short then why must the medication be taken every day?

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u/Terrible_Emu2653 — 1 day ago

Everything is too salty or too sweet and all I want are carbs

So something that I've noticed is that in addition to not really wanting real meals any more, I find most things either too salty or sweet to be appealing. Those expensive Chomps sticks? Salty n gross now. Every protein shake tastes too dessert-y and I am put off at the mere thought of it. All I seem to want now are plain carbs, like an O'dough bagel thin or a japanese sweet potato. I even made myself a loaf of banana bread, which I normally have to exercise great control in order to not over-eat, and now I'm just eating a small slice for breakfast because it's there and not gross but I don't really crave it or find it that satisfying. I also do not find veggies appealing at all.

With effort I'm able to reach about 900-1000 cals a day, but it's a struggle and doesn't feel that healthy. What are you eating? Any suggestions on how to have good nutrition?

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u/scatterlux — 2 days ago
▲ 2 r/WegovyPillWeightLoss+1 crossposts

Scale went up after 2 weeks on 9 mg

Has anyone else experienced this? 1.5 didn’t really do anything. The scale started to move a bit with the 4mg and I finally lost 5 pounds, so I decided to do another month on the 4mg. I didn’t loose anymore weight the second month on 4mg, so I went up to the 9mg. I’ve been on 9 for two weeks and the scale has actually gone UP a little bit! And no, my inches aren’t moving because all my jeans are still tight. I’m feeling really discouraged… just wondering if anyone had this same experience? Is it short-lived? Is my body just adjusting to the higher dose? I have definitely noticed fewer and more solid BM’s. Thanks!

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u/Ok_Armadillo_1981 — 2 days ago

Day 4

I was previously on the Wegovy injections for just under two years. Hit my goal weight within the first year, then worked on maintenance, eventually going every two weeks in the 2.4 shots. Around February of this year, I decided to stop. Weight came back in fast, and the hunger never went away. Gained back 20 of my 55 lbs lost. At the beginning of May, I decided to start the pills because I just didn’t want to keep gaining, and have to pay cash price as my new insurance won’t cover me. I waited to start the meds until the weekend (received on May 11) in case of side effects. Feel good so far, and am down 4 lbs in 4 days. I will say it must be Water and inflammation lessening because that’s quick. I feel so much less bloated. I really just want to lose the 20 and keep maintaining and am pretty optimistic about this!

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u/Powerful-Donut8360 — 2 days ago

One month update

Almost a month in on the 1.5mg and about 8 lbs down! Definitely not a magic pill at this dose anyways. I’ve been tracking & weighing all food, 10k steps a day, and the gym 3x a week. I would say I get mild appetite suppression but I can definitely eat right through it. Very minimal side effects for me. Will be moving up to the 4 mg on Friday even with my results this month because my ultimate goal with this pill was to not have to track and weigh all my food. I can do that without paying the monthly price

SW: 180
CW: 172.4
GW: 140

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u/Fabulous_Storm2568 — 2 days ago

Does water have the same impact on absorption as food?

I am curious about this. I can easily go 2 hours without eating after I take the pill (at 4:30am) but I start exercising by 5:15 and need to drink water by 5:30.

I know the recommendation is 30 minutes and I’ve got that but I also see that waiting 1-2 hours is advantageous.

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u/Prestigious_Look_986 — 3 days ago

Lack of pleasure during sex (M)?

M46 at 1.5mg, only a week and lost 2kg. Has anyone noticed lack of pleasure during sex? The “mechanical” part is still fully operational but the pleasure is mostly gone. Reminds me of darker times under Lexapro.>!&#x200B;!<

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u/loveyoursocks — 3 days ago

Weight loss week by week

I just started on Friday and am not feeling a meaningful reduction in food noise yet. I am feeling fuller but that’s never been a reason not to eat for me (and I guess at least some of you as well.).

Anyway, I’m wondering what your weight loss has looked like week by week starting from the beginning.

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u/Prestigious_Look_986 — 3 days ago

25mg, one week in, experience and results so far.

One week into the 25mg, figured now is as good as any to report on my progress.

* 1.5mg: lost 8lbs. Light to moderate nausea, indigestion, constipation. This 1st month was the most side effects I experienced and they were not bad.

* 4mg (1st month): lost another 8lbs. Light nausea, indigestion, constipation. Decided to stay on 4mg cause it was working and half the price of 9mg.

* 4mg (2nd month): lost only 2lbs. Light constipation. Staying on 4mg for a 2nd month was, in retrospect, a mistake. I should have stepped up as planned.

* 9mg: lost 5lbs. Light constipation.

* 25mg: 1.5 weeks in and lost 3lbs. Light constipation.

Started at 222lbs, now at 196lbs, goal of 170lbs. Middle aged male. In good health with good exercise habits (bike commuting and competitive swimming).

Overall assessment: This is an amazing pill. I lost 10% of my weight with minimal willpower and minimal side effects? For just $300/month? Sign me up.

I'm surprised at how easy the step up from 9mg to 25mg went. Side effects didn't get worse. I am worried that my rate of weight loss has slowed so much, was hoping the jump to 25mg would've had the same effect as going from 0 to 1.5..

Anyway, I feel lucky that my side effects were so minimal. A few nights in the first 1-2 weeks of bad indigestion, but a steady intake of fiber gummies and stool softener has managed the constipation.

Good luck y'all!

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u/mastakebob — 3 days ago