Also got a lot of suppression here now I’ve gone up to 5.
The info from my provider is thet the body gets used to the digestive effects (slow gastric emptying, fullness), but the brain effects (reduced food noise, less compulsive, etc) don’t reduce over time.
To me that implies it’s worth moving up slowly through the doses and getting as much weight loss as possible for each one. Also I think it means I need to use the experience of fullness to learn to listen to my body and to get used to portion sizes being smaller, changing expectations, because I’m not going to have the slow digestion forever, even though I plan to stay on the drug indefinitely.
But everyone is still just figuring out how to get the most from this medicine and there are really different reasons for being overweight, so I guess the best approach is going to be pretty individual. I liked eating until I was too full, and I need to kick that permanently now.