+1. This mirrors my journey exactly. The Heart rate increase discussion here is so valuable.

MaxMetOK said:

Night shift nurse — I started at 267 lbs and felt like I would tried everything

I respect MaxMetOK perspective but I think this oversimplifies things a bit. Re: Heart rate increase on sema — the effect size varies considerably by population.

I am not saying MaxMetOK wrong entirely — just that the picture is more nuanced than a blanket statement. The SURMOUNT data specifically shows baseline BMI-dependent responses.

Reading this thread on Heart rate increase on hits close to home. Dad of 2 checking in — I started at 293 lbs and felt like I would tried everything.

9 months on tirz and I am a different person. Not just the 68 lbs lost — my energy, my mood, my relationship with food. All transformed.

If you are on the fence about Heart rate increase — take the leap. It was the best health decision I have ever made. ❤️

Bookmarked 📌 The Heart rate increase info in this thread is essential. Coming back to this for sure.

quinn_sf — that is really helpful context on Heart rate increase on. Follow-up question: did you experience any side effects during this phase?

I am in a similar situation (about to start) and trying to set realistic expectations.