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ForumsProgress & Lab Results[PREMIUM] Post-bariatric regain reversal — sema brought me back from 60-lb regain Page 3

[PREMIUM] Post-bariatric regain reversal — sema brought me back from 60-lb regain

pam_stl Fri, Jan 16, 2026 at 11:58 AM 26 replies 1,020 viewsPage 3 of 6
wendy_avl
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Oct 2024
Asheville, NC
Jan 16, 2026 at 4:13 PM#11

Thank you quinn_sf! This is incredibly helpful. Taking this to my next appointment. 🙏

Last edited: Jan 16, 2026 at 10:13 PM
13 3SleepFixSam, PurityPaulOR, MaxMetOK and 10 others
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Dr.NephBHM_UK
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Jun 2024
Birmingham, UK
Jan 16, 2026 at 4:30 PM#12

Slightly tangential to Post-bariatric regain but pam_stl reminded me — does anyone have experience combining this with metformin?

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.

33 8EndoResFellow, PharmacoVig_BOS, SurmountFan_IN and 30 others
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MikeKY_noInsulin
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267
1,234
Oct 2024
Louisville, KY
Jan 16, 2026 at 4:47 PM#13

Thanks for sharing this, pam_stl. A few questions about your Post-bariatric 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 Post-bariatric?

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

Last edited: Jan 16, 2026 at 7:47 PM
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pam_stl
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Oct 2024
St. Louis, MO
Jan 16, 2026 at 5:04 PM#14

OP here — wow, did not expect this much response! Thank you all for the thoughtful replies on Post-bariatric regain.

To answer Dr.NephBHM_UK: I started tracking everything in a spreadsheet from day 1.

Quick update: I will post a proper update thread soon. Thanks again for the evidence-based discussion — this is exactly why I posted in a science-based community. 🙏

Last edited: Jan 16, 2026 at 10:04 PM
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dan_philly
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Jul 2024
Philadelphia, PA
Jan 16, 2026 at 5:21 PM#15

Adding my data to this Post-bariatric regain discussion:

MetricBaselineMonth 3Month 8
Weight242 lbs237 lbs207 lbs
A1C6.6%5.8%5.4%
hsCRP6.02.00.8

Protocol: Semaglutide 2.4mg/wk, resistance training 3x/wk, protein 1.4g/kg/day.

5 18EndoResFellow, PharmacoVig_BOS, SurmountFan_IN and 2 others
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