Two months in, my scale had moved 4 lb. Side effects were brutal. I genuinely thought about throwing the pen away. My NP convinced me to do one more dose increase. Within 2 weeks the appetite suppression hit different, the side effects calmed down, and the scale started moving 1-2 lb a week consistently. I'm now down 41 lb at month 7. If you're in that miserable Week 6-8 window: hang on. The dose ladder exists for a reason.