Semaglutide at 6 months: what I'd tell anyone starting today
Honest summary of 6 months on semaglutide — what worked, what didn't, and the things nobody warned me about.
I've been on semaglutide for ~6 months now, titrated slowly from 0.25 to 1.0 mg weekly. Posting the unfiltered version because most of what I read before starting was either marketing or panic.
The first 6 weeks were the hardest. Nausea, mild reflux, and significant fatigue. Slow titration helped — every clinician I trust now says start lower and move slower than the official schedule.
Weight loss came in waves, not linearly. The first month was mostly water and appetite suppression. Real fat loss kicked in around weeks 8–12. By month 5 I was down ~16% body weight.
Things that mattered more than I expected: protein (1.8 g/kg minimum), resistance training 3x/week, and hydration. Without those, the scale moves but you lose meaningful muscle.
Things I'd skip: tracking calories obsessively, daily weigh-ins, comparing my curve to anyone else's. The peptide does its job — getting in your own way slows progress.