I have been on semaglutide for about fourteen months and have lost 58 pounds. I track weekly averages rather than daily weights, because daily fluctuations make me restless.
Since mid-June, my weekly average has been moving only 0.1 to 0.3 pounds, while my appetite in the late afternoon has started feeling louder again. I am not looking for dosing guidance, but I am curious how people knew it was time to discuss a change with their clinician.
For those who moved from semaglutide to tirzepatide, what changed first for you: appetite, side effects, energy, or something else? Did your weekly averages respond gradually, or in a way you could see within the first month?
I want to be thoughtful rather than chase every slow stretch, so I would appreciate hearing both the helpful and the unremarkable parts of your experience.