The Adjustment Period Whenever you introduce a powerful hormonal signal to the body, there is an adjustment period
Your first-month summary should include Medication name and dose Dose dates and times Any late or missed doses Injection sites used Weight trend (and body composition if measured) Top side effects with severity and timing Constipation or diarrhea pattern Protein, fiber, and water averages Foods that consistently helped or hurt Resistance-training and walking sessions completed Energy, sleep, mood concerns Questions you want answered Labs and screens to ask about at follow-up A1C and fasting glucose (if diabetic or prediabetic) Lipid panel Liver enzymes and kidney function Body composition recheck (DEXA or InBody) if available Iron, B12, vitamin D especially if you notice fatigue or hair shedding Mental health check-in note any persistent or severe changes in mood, sleep, or anxiety Whether to step the dose up, hold, or pause That is the value of first-month tracking: fewer vague memories, better clinician conversations, and more confidence in what changed
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But if they are really impacting your quality of life or you have any of the more serious side effects, talk to your healthcare provider to go over the benefits and risks of continuing to use semaglutide for weight loss
