PSA: Don't skip the titration schedule even if Week 1 felt easy

I felt great on 0.25 mg. Almost no side effects, mild appetite suppression. So when month 2 came I figured I'd jump to 1.0 and skip the 0.5 to lose faster.

Reader, I do not recommend this. I spent 4 days unable to keep water down and ended up with an ER visit for dehydration. The titration ladder isn't a suggestion, it's how your gut adapts to the slowdown. Going up too fast is how people end up hospitalized and giving up on these meds entirely.