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Anybody on Wegovy?
I was started on Wegovy roughly three months ago. I’m on the 0.5g dose, so still a low dose. It’s doing what it’s supposed to but I think it may be too effective in suppressing my appetite.
It’s not unusual for me to eat half a sandwich and immediately throw it back up and that’s all I’ve had that day. Or I can go a whole day not eating more than a slice of cheese. I already had problems with Vitamin D and iron deficiency before Wegovy and I’m worried I could end up with straight up malnutrition. I obviously know I should eat more but it will not stay down and even the thought of eating can make me feel ill. And when I’m pre vomit (sorry for the inelegant phrasing) I feel very unwell indeed - weak, shivery, faint, even break out into a sweat. Once the food has resurfaced I’m fine.
I spoke to the nurse about how I was worried that I wasn’t eating enough and her oh so helpful advice was to make sure I eat at least 800 calories and to use an app to track my nutritional intake. Lady, if all I’ve eaten is a biscuit I don’t really need an app to tell me that is not giving me my RDI of nutrients!
I’m trying to make up for the shortfall with supplements but they cause nausea and vomiting too. A lot of the high protein and meal replacement drinks seem dairy based which irritate my stomach not least because it appears that I’m somewhat lactose intolerant.
Has anybody else had similar challenges and did you find a way to overcome them?
If you are still throwing up on that low of a dose I would talk to your doctor about stopping. The vomiting should have stopped by now. I'd be worried you are at higher risk for side effects like gastroperises. You may want to switch to zepbound, it does not have as severe side effects
I'd stop immediately and ask your doctor to switch you to something else. You don't have to starve yourself to lose weight.
The funny thing is that although, yes, I am losing weight, the bird like amounts of food I am able to consume are not fully reflected in the results! I’m basically a subatomic particle where the normal laws of physics no longer apply.
That's what happens when your body is starved of food too long - it works even harder to conserve what little energy it gets. Your medication just put your metabolism into "energy saving mode", which is the opposite of what you want to happen.
I am, but on the 1.0 dose and have had the exact opposite effect. I can barely notice any difference.
Can you go back down to 0.25? Failing that, try to eat very slowly, a mouthful at a time, then give it a chance to go down before taking the next bite?
Hopefully you get some good advice. Maybe try the ozempic subreddit too, you could get some help there.
I agree with other commenters—go back down to 0.25 for a few months and if that doesn’t help, switch to Zepbound. If your insurance doesn’t cover Zepbound, you may still be able to apply for a formulary exception.
I have not tried Wegovy, but I am on Zepbound now and I tried Saxenda in the past. Like many (most?) tirzepatide users, I have had almost no side effects on Zepbound. Like many (most?) liraglutide users, I had a lot of nausea and constipation on Saxenda. I managed it by ignoring the normal titration schedule and waiting until the side effects at each dose had abated before going up to the next dose.
i get that wegovy dramatically reduces appetite, but ngl it seems extremely unhealthy to be eating 800 calories a day and for a doctor to recommend that in any capacity because it is disordered. i am a lifelong anorexic and i have gotten very sick just from consistently doing stuff like that, not even restricting super hard or anything. i think i can relate though, my medicine makes me extremely nauseous and its very hard to eat. it can be really frustrating sometimes. im sorry you are having such bad side effects!!! i really hope they get better and that you can get better advice from someone who has gone through this <3 you deserve to not have to deal with such extreme nausea!!
800 is less of a target but an absolute minimum intake I should be aiming for. But no advice on how to manage that.