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Semaglutide appetite stalled at 1mg, anyone else hit this wall?

Posted by amber464 in Weight Loss & Metabolic - 18 points, 6 comments.

I’m about 10 weeks into semaglutide, and the first part was almost too easy. Food noise quieted down hard, and my weekly average dropped without me having to white-knuckle every meal. That part felt real to me, not gonna lie.

But lately it’s gotten weird. Appetite is back some days, not full-on ravenous, just enough that I notice it. Weight’s been flat for 3 weeks now, and my log is boring in the most annoying way. Sleep, hydration, and protein are all about the same, so I don’t think it’s just me being sloppy.

I’m not looking for a magic fix, just curious how folks tell the difference between a true plateau and just a rough stretch. I’ve been reading through the CagriSema page too, mostly because the dual appetite angle makes sense to my brain, but I’m trying to stay practical and not get shiny-object syndrome.

Anybody else have sema taper off on appetite before the scale moved again? I’m mostly watching trend weight, waist, and side effects, because that’s the only stuff that’s ever kept me honest.

Comments

  • biohacker_priya: Yes, I hit a similar stretch where the first few weeks felt dramatic, then it got much flatter and I started second-guessing everything. For me, it seemed to matter more whether my calories and daily movement were steady than whether appetite was still obviously suppressed. A couple boring weeks did not mean much by itself, just my own experience. If your waist, trend weight, and side effects are still reasonable, I would not call it a failure yet. I would also be cautious about chasing a new s
  • grace_rows: Yeah, that was my impression too, tbh. The “wow” phase can fade even when the trend is still doing something useful. For me it seemed more helpful to watch weekly averages, waist, and whether I was drifting on calories, not just whether appetite felt blunt every day.
  • hank_sauna: yeah i felt that too the appetite thing faded but when i kept my steps and food log steady the scale finally crept down again. just my own experience but it helped me not panic and wait it out a bit longer. what’s your doc saying about staying at 1mg?
  • amber464: my doc said 1 mg is fine to ride out a stall, he just wants me to keep the labs clean and watch for any GI issues. i’ve been logging steps like you – around 8‑9k a day – and protein stayed at ~110 g. i’ll keep the dose and see if the scale drops in another week or so. thanks for the reassurance, it definitely takes the edge off the panic.
  • amber464: Totally get that. I actually started pulling my own weekly calorie drift after week 8 and it’s been a small upward tick (≈ 120 kcal) even though my hunger feels “normal” again. 5 in over the last two weeks, so I’m leaning toward a true plateau rather than a rebound. I’ll keep tracking the weekly avg and see if the drift steadies before I tweak anything.
  • amber464: Totally hear you on the movement part – I’ve been tracking steps with my phone and they’ve sat around 6‑7k/day for the past month, HRV’s been steady around 55 ms and my waist stayed 31 in. My appetite’s a bit back but I’m still at 1 mg, so I’m holding off on any tweak. How do you decide when the “boring weeks” are actually a plateau versus just normal variance? Do you use any specific weight‑trend window or just the raw numbers?

Community discussion - research and educational context only. Not medical advice.