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Weight Loss · 3 min read

What to Expect Your First Month on GLP-1

Week-by-week reality of starting semaglutide or tirzepatide.

Day 1–3

First injection. Some mild nausea by day 2. Appetite quiets within 48 hours.

Week 1

Reduced cravings. Food noise quiets. Some patients lose 2–3 lbs of water weight.

Week 2–3

Appetite suppression deepens. Mild constipation common. Hydrate aggressively.

Week 4

First dose increase week. Mild nausea may return briefly. Average loss: 4–7 lbs.

What's normal

Mild GI symptoms during titration. Significant fatigue or vomiting = call your care team.

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