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What changes at 0.50mg: Appetite suppression typically becomes more pronounced Food thoughts diminish (less "food noise") Portion sizes naturally decrease Early weight loss may begin (1 to 2 pounds per week is common) GI side effects may temporarily increase before settling Some compounded semaglutide protocols allow for a half-step at 0.375mg if the jump from 0.25mg to 0.50mg causes intolerable side effects