Just wanted to say — for anyone reading this How is this not thread who is feeling discouraged: it gets better. The first 6 weeks are the hardest. Hang in there. 💪

Slightly tangential to How is this not covered but mike_mod reminded me — has anyone else noticed changes in their alcohol tolerance?

I know it is not exactly on-topic but it seems related enough to ask here rather than starting a new thread. Apologies if this has been covered — I did search first.

Exactly this. My pharmacist said the same thing about How is this not.

Want to share my personal experience related to How is this not covered but my since I think it might help others in a similar situation.

I started my GLP-1 journey in March 2025 at 265 lbs with metabolic syndrome. My telehealth provider prescribed semaglutide 0.25mg to start.

Now, 12 months later: I am down 70 lbs, my labs have normalized, and my sleep apnea has improved dramatically. The How is this not aspect specifically was something that made a big difference in my journey.

This forum was my go-to resource throughout.

Clinical perspective on How is this not covered but my coworker:

I have managed ~150 patients on GLP-1 therapy and this topic comes up frequently. What the data shows — and what I see in practice — is that the medication works best as part of a comprehensive approach.

For this specific question, I would recommend: getting comprehensive baseline labs first.