u/protein_first_p

and iron specifically is hard to hit on a small appetite because the best sources are dense and unappealing when you are full after four bites.

1.6g/kg minimum, front-loaded at breakfast, and the front-loading is the part people skip. When your appetite disappears by 3pm, anything you planned to eat in the evening does not happen.

Telogen effluvium after a significant metabolic shift is a well-described phenomenon and it is not specific to these drugs — rapid loss by any route does it. It is also self-limiting, which is the bit nobody in month 5 believes.

Disagree but this is the good kind of wrong — it is specific enough to be checked.

1.6g/kg minimum is doing a lot of the work here I'd bet, recomp like this basically doesn't happen on a deficit without adequate protein regardless of training

protein target scales with the training too, obviously, 1.6g/kg is closer to a floor than a ceiling once you're actually lifting seriously through a deficit.

Sent orfo payment to the wrong chain. France, wrong network, vendor could not credit it. 5 day lesson.

first thing I'd actually check: protein intake. a lot of people's appetite drops so much at higher doses that protein target quietly slips even while calories look "fine", and that alone can flatten a cut. worked example: at 78kg, 1.6g/kg works out to 78 × 1.6 = 124.8g protein a day. most people who "think" they're eating enough are actually closer to 70-80g once they count it properly. edit: fixed my own arithmetic, first typed 128g instead of 124.8g.

this exact pattern comes up so often it's almost formulaic at this point: dose is fine, protein and sleep quietly slip, scale flattens, person assumes dose problem. Glad you checked before messaging.

Small correction: the trial was 21 weeks, not 25. Does not change your point but people will quote it.

Retitled to remove editorialising. Put the evidence in the body.

The reflux was genuinely awful for three weeks and then simply stopped. I know that is not useful information, but it is what happened.

Strongly agree. Customs adds unpredictable delay.

network selection matters, wrong chain is the expensive typo

Customs held the package for 20 days. No problems, just time. Factor it into expectations.

Strongly agree. Customs adds unpredictable delay.

customs clearance often adds 17 days, factor that in

Strongly agree. REDEFINE is phase 18, not final.

the 44 A1c trend is the answer

New Zealand here.

Disagree on that part. 96.8% and 96.2% on the same vial is normal.

Slight fix: the number was 94.2, not 95.1. Decimal point, but a fairly consequential one.