6-month log: updated every Sunday

I've been doing a weekly log in this thread and several people have asked me to keep going so here's month 3 update: down 31 lbs from 278 to 247. Lost about 3-4 lbs per month after the fast initial drop. Stalled for 2 weeks at month 2.5 and it broke on its own. Energy is better. Sleep is better. Still on 0.5mg and my doctor wants to see me stay here another month.

@ScaleWatcher same thing happened to me. The stall broke after I added more protein.

Six-month check-in thread for anyone who wants to follow along: Month 1 (0.25mg): Down 11 lbs. Mostly water weight plus the early loss. Nausea was rough days 2-4 after injection but manageable with small meals. Month 2 (0.5mg): Down 8 more lbs. Found my rhythm. Protein first at every meal. Nausea basically gone by week 6. Month 3 (0.5mg still): Stall. 3 weeks, scale didn't move. Measurements did. Pushed through. Month 4 (1mg): Stall broke at the new dose. Down 9 lbs this month. Month 5 (1mg): Steady loss, 6 lbs. Starting to feel like maintenance territory. Month 6 (1mg): Current status. Total: -41 lbs. Energy is excellent. Food relationship completely transformed. Would recommend to anyone who qualifies.

I keep a protein shake on my desk for days when nothing sounds good. It helps.

Posting my insurance appeal letter since a few people asked. This is what finally worked after three denials: I had my doctor submit a Letter of Medical Necessity that specifically cited: (1) my BMI over 30 with comorbidities, (2) documented failure of two prior weight-loss interventions over 12 months, (3) relevant metabolic markers including elevated triglycerides and pre-diabetic A1C. The key addition that got it approved was asking the doctor to cite the specific plan coverage language and argue that denying the medication violated the plan's own obesity-management coverage terms. We also requested a peer-to-peer review call. Don't give up after one denial. Three denials is unfortunately normal. Each appeal should be more specific than the last.