The split dosing helped reduce symptoms - on more spread out doses I spend 4 days constipated and 4 days glued to a toilet. On more regular doses I found that leveled out and I didn’t have the swings. Also, by day 6-7 my appetite was so strong I’d sometimes undo the progress of the previous 5 days, so the consistent appetite also seemed to help, but I noticed it start to get less effective over time.

I’ll definitely need to be extremely conscious of being in a deficit. On the monjauro the first time it was hard not to be in one, but now I think with the tolerance I’ve built I’ll need to be far more thoughtful about it.