Congrats CanadaChris!! Keep going — you're doing incredible. 🎉
RunnerRach's experience with Semaglutide and exercise resonates deeply with mine. I went through almost the identical process — starting dose, titration timeline, side effects, everything.
The main difference: I had more GI issues initially. But the overall trajectory has been remarkably similar. Down 61 lbs in 6 months.
One thing I would add that RunnerRach did not mention: insurance coverage was a major hurdle.
Clinical perspective on Semaglutide and exercise performance :
I have managed over 200 patients on GLP-1 therapy and this topic comes up frequently. What the data shows — and what I see in practice — is that the medication works best as part of a comprehensive approach.
For this specific question, I would recommend: getting comprehensive baseline labs first.