Thank you kate.chem! This is incredibly helpful. Bookmarking for later. 🙏

Slightly tangential to Is there a ceiling effect but Dr.ObesityMed reminded me — has the insurance landscape changed recently?

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.

Thanks for sharing this, Dr.ObesityMed. A few questions about your Is there a ceiling experience:

1. What dose did you start at?
2. How long before you noticed side effects improving?
3. Did your provider have any specific recommendations about Is there a ceil?

I am in a similar boat and trying to learn from others' experiences before my next appointment.

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on Is there a ceiling effect.

To answer oliver_london: my doctor and I discussed the options and went with brand.

Quick update: I have noticed more improvement since posting this. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏

Adding my data to this Is there a ceiling effect discussion:

Protocol: Semaglutide 2.4mg/wk, resistance training 3x/wk, protein 1.5g/kg/day.