Good to see you here. Sema finally gave me some real control over eating after years of mixed results with keto. It was a relief when the constant food thoughts disappeared. My only regret is moving the dose up too quickly because I wanted faster results. Losing two or three pounds a week felt too slow, so I reached the top dose sooner than needed. After six months at that level the scale stopped moving. Taking it slower and only increasing when the two-to-three-pound loss stalled might have let me stay on it longer and lose more overall. I eventually switched to another medication to reach my goal and have since lowered the maintenance amount again so I can add a bit back.
I began sema several weeks back and decided to track how it felt instead of focusing only on the scale. The opening two weeks brought little change beyond feeling full earlier than usual. Around week three I started passing on snacks without any real effort. Meals stayed pretty normal overall, yet the nonstop urge to eat between them has eased. The scale has been moving at a modest pace and that works for me right now. People who have used it longer, did the drop in appetite keep getting stronger or did it settle after those first weeks?