Agreed. My doctor said the same thing about Oral sema empty.

Congrats Dr.LeslieOBGYN!! Keep going — you're doing incredible. 🎉

I know this thread is old but I found it through search and wanted to add my experience with Oral sema empty stomach since this was the most comprehensive discussion I could find.

9 months later, the information in this thread still holds up. My results have been in line with the evidence presented.

For anyone else finding this through search: the advice here is solid. But always verify with your own provider.

BrianDallas92 said:

Night shift nurse — I started at 283 lbs and felt like I would tried everything

This is exactly right. BrianDallas92 articulated what I have been trying to explain to my friends for months. The Oral sema empty stomach aspect is what made the difference for me.

Subscribing to this thread. Oral sema empty stomach is exactly what I've been researching. 🙏