didn't lose weight on semaglutide Haven't lost Ozempic in a year... : r/Semaglutide Woman Loses 82lbs on Semaglutide

Its not as bad as insulin would be

But the amino acids the liver burns have to come from somewhere, and in a deficit without enough dietary protein, some come from muscle

Practical timing strategies include: For oral semaglutide users: Take Rybelsus first upon waking with 4 oz water, wait at least 30 minutes, then take levothyroxine, and wait an additional 30-60 minutes before eating Alternatively, consider consistent bedtime levothyroxine dosing (3-4 hours after the last meal) Weight Loss Considerations : Significant weight reduction from semaglutide therapy can alter thyroid hormone requirements

More stable blood sugar can help reduce spikes and crashes that affect hunger and energy

Research suggests microdosing may help correct blood sugar instability and insulin sensitivity even before significant weight loss occurs