Milestone reached — sharing here

Fitness update at month 8: started doing resistance training at month 3 after losing significant muscle mass in the early months. Since adding lifting 3x/week, my rate of fat loss has actually increased while I've gained visible muscle definition. The combination is powerful.

The sulfur burps are embarrassing but Pepto and Gas-X got me through the worst weeks.

Prior auth is such a game. Three denials before approval — persistence is key.

Seconding the hydration advice. I drink at least 80oz a day and it makes a huge difference.

Have you tried injecting in the evening? That helped my nausea enormously.

The protein-first approach is the single best nutrition change I made. Before any carbs or fats, get your protein in. It works synergistically with the medication to preserve muscle while you're in a deficit.