Marlow — GLP-1 Patient Portal (The Weekly Issue)

Vol. II · No. 14

Week of 3 March

Printed for Ines Duarte

A weekly issue, for one reader

Semaglutide, 1.0 mg weekly

You have spent four weeks at the same dose, and it was the right call.

The scale moved 1.8 lb this week without a single change to the plan. Nothing needs adjusting before the next review.

Issue Fourteen · Written by Dr. Sofia Marchetti

Also in this issue

IA letter about protein, and why the dose is not moving
IITwo evenings of constipation, and the one thing to change
IIIFig. 1 — fourteen weeks, plotted

The week in numbers

Weight, Monday morning: 177.6lb−1.8 on the week
Since the first issue: −20.6lbfourteen weeks
Doses taken: 14of 14none missed
Steps, daily average: 8,410up from 6,900
Protein, daily average: 96gtarget is 100
Nights over seven hours: 5of 7best week yet

From your clinician

You asked me twice this month whether we were being too cautious holding you at 1.0 mg. Here is the honest answer: the dose is doing what a higher one would do, and it is doing it without the Tuesday nausea you had in January. There is no prize for climbing the ladder faster.

The number I actually watch is not the scale. It is whether you are eating enough protein to keep the weight you lose from coming out of muscle, and this week you averaged 96 grams. That is the first week you have been within a rounding error of where I want you. Keep the eggs at breakfast.

One thing to change, and it is small. You have logged two evenings of constipation. Magnesium after dinner, and drink more than feels necessary before the injection, not after. If it is still there in a fortnight, tell me before the review rather than at it.

Dr. Sofia Marchetti

Reviewed Week of 3 March

Fig. 1 — Fourteen weeks

198.2 → 177.6 lb

Fig. 1 — Weight in pounds, weeks one to fourteen, taken Monday morning before food. The flat stretch across weeks four and five is the week you travelled; it is on the record because pretending it is not there would make the rest of the line less useful.

You have spent four weeks at the same dose, and it was the right call.

Also in this issue

The week in numbers

From your clinician

Fig. 1 — Fourteen weeks

MarlowThe Weekly Issue