Context really matters when figuring out how these medications affect weight changes, especially after big drops or once someone has been on the same amount for a while. The impact shifts mainly based on how many pounds came off and whether the medication is mostly holding things steady instead of driving further reduction. Plenty of people report the medication seeming to quit working, often right after shedding around a hundred pounds and holding steady there. The pattern of dropping twenty five pounds across eight weeks does not line up with the usual slowdown either, since progress normally keeps going rather than halting abruptly. A switch to the other medication at that higher dose should normally produce a stronger result than the lower dose of the first one, yet if the new one is only preserving the current weight the timing feels off because a true stall would not show up this early. Water shifts could also explain flat scale readings for the first month or so after three months total on treatment, and four weeks alone does not rule that out. I once went an entire month with no movement on the scale while heading down from one forty five kilos to seventy five, yet measurements around the middle kept shrinking and the overall pace later smoothed out without any adjustment to food intake. Most folks struggle to track calories accurately anyway, and pointing that out in a harsh way does not help. Once these medications are working as they should a strict daily tally may not even be necessary, since tweaking the dose to keep a steady downward trend seems more practical over time than relying on willpower alone.
↳ replying to @WarmFenwick99
Even a sightless dumb ape tipping the scales at two hundred pounds drops body mass on fifteen hundred calories daily, whether it rows or not.