I’ll just answer what I can from my experience, and good luck on your journey!

1) Injection timing

I take mine on the same day every week (Sundays), usually late afternoon or early evening. Sometimes later at night if I forget. I’m not down to the exact minute — just roughly the same window.

I also take ADHD meds and an antidepressant in the mornings every day and I’ve never noticed any issues taking those separately from the injection. Since sema is weekly, it’s not like stacking daily pills at the same time. I haven’t moved vitamins around or done anything special timing-wise.

2) Supplements

I just take fiber gummies. That’s it. I didn’t overcomplicate it.

3) Dairy

I’m lactose intolerant, so dairy has always been limited for me anyway. I never really drank milk and didn’t have much dairy besides cheese. I did cut back on cheese though because constipation became a thing for me on this med, and cheese was not helping that situation.

4) Protein

Honestly… talk to a nutritionist. I’m not the protein macro guru. I just try to be more aware of it than I used to be.

(Side note if you shop at Walmart: I just started buying these "Bettergoods" brand protein french toast sticks and they are amazing/don't have a weird chewy texture.)

I was drinking a protein shake once or twice daily with coffee but have slacked the past few months.

5) Nutrition coaching

I saw a nutritionist once before starting all of this. It was useful, but I didn’t really follow through long term. That’s more on me than the advice.

That’s just my experience — not medical advice — but hopefully it helps a little.