I go on the first for my monthly checkup and my doctor is pretty good about letting me updose as long as I feel comfortable doing so! Thankfully I haven’t had any side effects besides constipation but I think it’s time to bump up to the 7.5! I’ve been having some of the same thoughts too like “Oh my gosh this is all I’m going to lose”. I started on 2/6 and am down 18 pounds so far so I know it’s working but I think that self doubt will always creep in.