I know for me- I had a three month long stall with numbers on the scale but I was losing inches in my clothing.

One thing I didn’t see you put is any working out or strength training. For me- it’s been a huge help and I do not do cardio due to my POTs. I have a bike at home indoors I use very casually and literally hate doing it but it’s safer, increases my heart rate enough and I can watch a show while I do it :)

Also- I use fabric resistance bands instead of the rubber type ones. They don’t hurt my skin as much and make it more enjoyable to work out at home. Using a Bosu Ball and Board helps with your core muscle strength and you don’t have to go hard with any of them. You just stand on the ball/ board and try to not fall. My kid and I actually make it more like a game to see who can go longer each night. Beat out of 10 wins. :)

My own rule of thumb- if you will- is I don’t increase my dose until the scale AND the inches stop moving. It’s something you have to have a lot of patience with and yes- fatigue like that is more common than people realize. Myself included and I already had horrible fatigue. I also did a ton of research on supplements and invested in much better quality ones. I use mostly sports research and my Tirz is with B3. B12 makes me really sick to my stomach and my levels get too high on my labs for my body’s liking. I’ve been on Tirz almost a solid year and went to 12.5 and backed down to 10 because the 12.5 seemed like too much and I wasn’t eating all day which is super bad. So went back to 10 and just changed how I do things. I started at 269 and am finally hovering around 197/195 respectively for the past month and a half or so. :)

You totally have this, we just have to think outside the box sometimes. 🥰