Hello @ILOVECHOCOLATEPISTACHIOS Firstly, no you do not have to increase the dosage monthly. If you find that the medication is effective and you are losing weight, you can stay at the same dose as long as you like.
Many people have lost lots on the lower doses, others have chosen to move up each month.
You are in control, it is your decision.
I have lost 5.5 stone over about 9 months, and during that time I did:
2.5mg 1 month
5mg 1 month
7.5mg 2 months
10mg 3 months
12.5 mg 2 months
I chose to move up a dose when the medication was not lasting the full 7 days, or because I could feel the effects were lessening. I took enough so that I could eat 3 small/moderate meals a day, but did not get hungry between meals.
For the first time in my life I start to feel full while I am eating, and then don't get hungry until about 5 hours later.
Also, no emotional eating. It's amazing
Side effects: I sometimes get a bit of nausea or indigestion for a couple of days after injecting. I have a tendency to constipation, so take psyllium capsules every morning, drink LOADS of water and stick to mainly protein and fibre.
On a couple of occasions I over indulged and then felt ghastly for a few hours, I learnt my lesson!
How long to see a difference: No one really noticed for the first couple of stone, although I could feel and see the difference myself. It was when I got to 3 stone that people began to notice, and I started to get out my old slimmer clothes from storage which fitted me better.
Now, When I meet someone who I haven't seen for ages, the look on their face gives me an absolute thrill. I can literally see them thinking 'WOW!'
Like you, I was excited and terrified when I started. I was excited that this might actually work, terrified that I might get unfortunate side effects; but I just thought to myself, if I don't like it I can stop!
This has been an expensive journey, but I saw it as an investment in myself and my future.
To do this was the best decision ever!