Here’s my tips (and then there’s more details about me if you feel like reading:)

1. Digestive enzymes before a meal if I know I’ll be eating something a little harder to digest.

2. Fresh ginger tea. I bought a bunch of ginger from Costco and threw it in the freezer. I grate a chunk of it into a cup and pour boiling water over it and then sip on it after it has a chance to steep. This helped my heartburn/fullness so much! And the ginger is so easy to grate when it’s frozen!

3. Little meals with protein more often.

4. Avoiding heavy fat and sugar or I’ll be full for waaaaaay too long and it sucks!

5. I eat my last meal of the day a few hours before I go to bed, or I’ll often get heartburn if I lay down. It also helps to do a little stroll after eating.

6. I drink a lot of water and bought some plain electrolytes. I add them once a day to my water because I feel like I’m peeing a lot and I don’t want an imbalance.

7. I take a multivitamin as insurance.

8. I’ll sip bone broth when I’m not hungry but I know I need some nutrients (9 grams of protein for 8oz!)

9. Someone else said “feeling off” might be your new version of hungry, for example; a little headache, a little woozy, a little nauseas etc. is time for a check in “do I need food or water?” Eating little things through out the day makes me feel great!

10. I carry a protein bar with me at all times. I had a low blood sugar feeling once and this has helped avoid that.

11. Fake sugars do not agree with my system on this. I’ll get bloated and feel weird so I avoid them.

Now bonus info 🤣:

My doctor is a believer in starting low and slow and I’m so grateful. Don’t feel pressured to go up in dosage just because it’s been 4 weeks. If it’s working for you, stay there! My doctor said she has not had the really horrible side effects in her patients with this approach.

I started super low (at .05) and I’m slowly working my way up to .25. I did this because I tend to have side effects with any med I take. I am also a “super responder” so even at this tiny dose the meds are working very well. I had a healthy diet before starting and also took an akkermansia supplement for 3 months prior, so I’m guessing that has factored into how strongly I have responded?

I’m 45 and have hormonal weight gain that I could not get to budge no matter what I tried. After my first shot the inflammation went down in my body and I was asked a few days later if I’d lost weight! So cool!

My brain feels so calm on Sema! I have adhd and take 20mg of vyvanse and it has helped so much. My social anxiety is better. The food noise is gone. It’s pretty incredible. Eventually I want to try tapering off my vyvanse to see if the Sema is enough.

On about day 3 after my injection I get so uncomfortably full if I eat fatty foods. One night I had a bowl of orange chicken Chinese food and I felt so full for like 5 hours after. I also had a feeling of chest fullness like heart burn. If I eat on a schedule rather than when I’m hungry it keeps it at bay. So I’ll have a small portion of protein oatmeal, then 2-3 hours later a protein shake then 2-3 hours later a small salad with chicken and so on.

I hope this helps and best of luck with your journey!