Journal
Weight Loss

Why Am I Not Losing Weight on Semaglutide?
How Semaglutide Supports Weight Loss
Semaglutide is a GLP-1 receptor agonist that mimics a hormone naturally produced in the gut. It helps:
- Increase insulin secretion
- Reduce blood sugar levels
- Slow stomach emptying
- Decrease appetite and cravings
These effects combine to reduce overall calorie intake and support sustainable weight loss. But like any medication, semaglutide works differently for different people—and results take time.
Typical Weight Loss Timeline on Semaglutide
In clinical studies, participants taking semaglutide weekly lost:
- ~5.9% of body weight after 3 months
- ~10.9% after 6 months
However, individual results vary. Some people notice a difference in just a few weeks, while others need several months to see visible changes. The key? Patience, consistency, and personalized support.
10 Possible Reasons You’re Not Losing Weight on Semaglutide
1. You’re Not in a Caloric Deficit
Semaglutide reduces appetite, but if you’re still eating more calories than your body needs, weight loss may stall. Try tracking your intake for a few days to assess patterns and adjust portions or food choices as needed.
2. Your Dose Isn’t Therapeutic Yet
Semaglutide is typically started at a low dose and gradually increased over several weeks. Early doses are designed to minimize side effects—not necessarily promote weight loss. It may take time to reach a dose that produces more significant appetite suppression.
3. You’ve Hit a Plateau
Weight loss plateaus are common. Your metabolism adjusts, and your progress may temporarily slow. To move forward, consider:
- Slightly reducing calorie intake
- Adding resistance training
- Changing your workout structure
4. Lifestyle Habits Haven’t Changed Enough
The medication is most effective when paired with nutritious eating habits, physical activity, and sleep hygiene. Take an honest look at your day-to-day choices and consider where you might need more structure or support.
5. Stress Is Sabotaging Progress
Chronic stress elevates cortisol, a hormone linked to weight gain and increased cravings. Prioritize:
- Breathwork or meditation
- Physical activity
- Quality sleep
- Supportive social connections
6. You’re Not Sleeping Enough
Lack of sleep disrupts appetite-regulating hormones like ghrelin and leptin. This can lead to:
- Increased hunger
- Decreased satiety
- Lower energy for movement
Aim for 7–9 hours of restful sleep per night.
7. An Underlying Condition May Be Interfering
Certain medical conditions can make weight loss more difficult, including:
- Hypothyroidism
- PCOS
- Insulin resistance
If you suspect a hormonal imbalance or metabolic issue, consult with your healthcare provider for testing and guidance.
8. Medication Use Has Been Inconsistent
Missing doses or not following administration instructions can impact results. Build a medication routine that fits your lifestyle—set alarms, use apps, or pair your dose with another daily habit.
9. Protein Intake Is Too Low
Protein helps with satiety and protects lean muscle during weight loss. Prioritize sources like:
- Lean meats
- Fish
- Eggs
- Legumes
- Greek yogurt
A general target is 1.2 grams of protein per pound of your goal body weight.
10. You’re Lacking Support and Accountability
Weight loss is easier with support. Whether it’s a friend, coach, healthcare provider, or online community, having someone to check in with can boost consistency, motivation, and results.
How to Maximize Weight Loss on Semaglutide
✅ Talk to Your Provider
If you’re not seeing progress, start with a conversation. Your provider can:
- Adjust your dosage
- Run lab work for underlying conditions
- Recommend a more personalized approach
✅ Track Your Intake and Habits
Use a journal or app to assess:
- Calories and macronutrients
- Sleep patterns
- Stress levels
- Exercise routines
This data can help identify opportunities for improvement.
✅ Reassess Your Fitness Routine
Movement matters. Aim for:
- Cardio to burn calories
- Strength training to preserve muscle
- Stretching and mobility for recovery
Start with what you enjoy, then build gradually.
✅ Prioritize Hydration and Reduce Alcohol
Water supports digestion, satiety, and energy. Alcohol, on the other hand, contains empty calories and can increase cravings. Keep it minimal or skip it altogether.
✅ Be Patient and Stay Consistent
Weight loss isn’t always linear. Progress may come in waves. Focus on building habits you can maintain long term—and give your body time to respond.
Looking for Support?
If you’re feeling stuck or discouraged, Willow offers a comprehensive weight loss program featuring semaglutide, lifestyle guidance, and expert support to help you stay consistent and feel confident every step of the way.
Final Takeaway
Not losing weight on semaglutide doesn’t mean it’s not working—it may just mean your body needs more time, support, or adjustment. By addressing the most common obstacles and partnering with a healthcare professional, you can unlock the full potential of your journey.
Stay consistent. Stay curious. And most importantly—stay kind to yourself.

Understanding the Timeline of Semaglutide's Effectiveness | Start Willow
Semaglutide and Sustainable Weight Loss
Losing weight isn’t just about willpower—it’s about finding the right tools. Semaglutide, a medication originally developed for type 2 diabetes, has become a powerful option for people seeking support on their weight loss journey. But how soon does it start working? And how long can you stay on it?
This guide explores the month-by-month timeline of semaglutide's effectiveness and offers insights into what to expect, how it works, and how to make it part of a long-term plan.
How Semaglutide Supports Weight Loss
Semaglutide is a GLP-1 receptor agonist, a class of medications that mimics the hormone GLP-1 to:
- Regulate appetite and reduce food cravings
- Increase feelings of fullness
- Slow down how quickly your stomach empties
- Support better insulin and glucose control
- Encourage the body to burn fat more efficiently
Together, these effects help decrease calorie intake and support steady, sustainable weight loss.
Timeline: When Semaglutide Starts Working
Month 1
In the first few weeks, many people begin to notice decreased cravings and a quicker sense of fullness. This may be subtle at first. Visible weight changes are uncommon in the first month as your body adjusts to the medication.
Month 2
Appetite suppression becomes more noticeable. Most people begin to see early weight loss, often averaging 1–2 pounds per week. It’s important to avoid rushing the process—steady progress is more sustainable.
Month 3
By month three, many users report a significant decrease in hunger and better control over emotional or habitual eating. Weight loss tends to accelerate, and some begin to see changes in body composition.
Months 4–6
This phase often brings the most dramatic results. With consistent use and healthy lifestyle changes, individuals can lose up to 10% or more of their starting weight. It’s also a time to reinforce positive habits that support long-term success.
Beyond Month 6
The progress made in the first six months lays the foundation for sustained results. Continued use of semaglutide, along with healthy routines, can help maintain weight loss and prevent regain.
How Long Can You Stay on Semaglutide?
Semaglutide is typically considered a long-term treatment for chronic weight management—just like medications for blood pressure or diabetes.
- Clinical trials have evaluated it for up to 68 to 104 weeks, and ongoing use may be recommended by your provider.
- Studies show that stopping semaglutide can lead to weight regain—on average, two-thirds of lost weight returns within a year without continued support.
- Many people transition to a maintenance dose to help keep weight off in the long run.
Your healthcare provider can help determine the right timeline and dosage for your needs.
What Affects the Timeline of Results?
Everybody is different. These factors can influence how quickly you notice results:
- Consistency with the prescribed dose and medical guidance
- Metabolic rate, which affects how quickly your body responds
- Starting weight—those with more to lose may see more dramatic early results
- Lifestyle factors like nutrition, movement, stress, and sleep
Common Questions About Semaglutide and Weight Loss
Q: Does semaglutide work right away?
A: Most people begin noticing appetite changes within the first few weeks, but substantial weight loss typically takes a few months.
Q: How fast does semaglutide work for weight loss?
A: While results vary, many experience early weight loss by month 2, with more noticeable changes between months 3 and 6.
Q: How long can I stay on semaglutide?
A: As long as needed. Weight management is a long-term journey, and semaglutide can be continued safely under medical supervision.
Is Semaglutide Right for You?
Semaglutide offers a new path forward for those who have struggled with weight loss alone. By setting realistic expectations and working closely with a provider, it’s possible to build long-term success—step by step.
If you’re exploring semaglutide-based treatment, Willow offers a comprehensive program that combines medication with expert guidance, lifestyle support, and compassionate care. We’re here to help you take the next step toward a healthier, more confident you.

The Best Pre-Workout for Weight Loss
What Is a Pre-Workout—and Why Use It?
Pre-workout supplements are designed to give you an energy, endurance, and focus boost before exercise. For people trying to lose weight, this can translate to longer, more effective workouts and increased calorie burn.
That said, pre-workouts are not magic pills. They work best when paired with a balanced diet, regular movement, and consistent healthy habits.
If you're looking for additional support beyond fitness, you can explore Willow's GLP-1 medications [here].
Key Ingredients in the Best Pre-Workouts for Weight Loss
Look for these common science-backed ingredients in your pre-workout to support energy, performance, and fat metabolism:
1. Caffeine
A well-known stimulant, caffeine increases energy, focus, and endurance. It can help you push harder, lift more, and train longer—ultimately helping burn more calories.
Note: If you’re sensitive to stimulants, you may want to explore lower-dose or non-stimulant options.
2. L-Citrulline
This amino acid supports blood flow and oxygen delivery to muscles, helping delay fatigue and boost performance.
3. Beta-Alanine
Known for reducing muscle fatigue, beta-alanine helps increase your workout endurance, especially during high-intensity training.
4. L-Carnitine
This ingredient helps shuttle fatty acids into cells, where they’re used for energy—potentially increasing fat-burning capacity during workouts.
5. Additional Supportive Ingredients
- Green tea extract: Contains catechins that may boost metabolism and fat oxidation.
- BCAAs (branched-chain amino acids): May reduce muscle soreness and support post-workout recovery.
Popular Pre-Workout Supplements for Weight Loss
Disclaimer: Willow is not affiliated with the following brands. These options are listed based on popularity and positive feedback within the fitness community.
- Transparent Labs Bulk Black – High in caffeine and includes ingredients to support both energy and fat metabolism.
- Jacked Factory Nitrosurge Shred – A thermogenic pre-workout focused on boosting energy and fat burning.
- Cellucor C4 Ultimate Shred – Includes ingredients for energy, strength, and endurance; available in stimulant and non-stimulant versions.
- Huge Supplements Pump Serum (Non-Stim) – A stimulant-free option for those looking to avoid caffeine while still enhancing performance.
- 1st Phorm Endura-Formance – Designed for endurance athletes; includes electrolytes for hydration and recovery.
Always check ingredients and consult your healthcare provider if you have any health conditions or are taking medications.
Natural Pre-Workout Alternatives
Prefer a whole-food or natural approach? These foods and beverages can also give your body the fuel it needs:
- Green Tea – A gentle caffeine source with L-theanine for calm focus.
- Coffee – Boosts metabolism and enhances mental and physical performance.
- Beetroot Juice – Rich in nitrates that improve blood flow and stamina.
- Bananas – A quick source of carbs, potassium, and vitamin B6 to fuel your workout.
- Oatmeal – A slow-digesting carb for sustained energy.
- Greek Yogurt with Fruit – Balanced in carbs and protein to support both energy and recovery.
How to Choose the Right Pre-Workout
Here are a few tips to help you make the best choice:
- Stimulant Sensitivity: If you’re caffeine-sensitive, look for low- or no-stimulant options.
- Dietary Needs: Check for gluten-free, vegan, or keto labels based on your preferences.
- Ingredients You Trust: Read the label to ensure the formula aligns with your health goals.
How to Maximize Your Pre-Workout for Weight Loss
Timing
Take your pre-workout 20–30 minutes before your session for best results. Always follow the manufacturer’s recommendations.
Start Small
Especially if you're new to pre-workouts, begin with a half dose to assess your tolerance.
Pair with Nutrition & Movement
Even the best pre-workout won't work on its own. Use it as a tool, not a solution. Combine it with a nutrient-rich diet, quality sleep, hydration, and an exercise plan tailored to your goals.
Final Thoughts
Pre-workouts can help you feel energized, stay focused, and train harder, which may accelerate weight loss—but they’re just one piece of the puzzle. You don’t need a supplement to succeed, but if you choose to use one, make it intentional, informed, and safe.
Whether you prefer a natural approach or a popular supplement, the best pre-workout is the one that fits your body, your goals, and your lifestyle.
Want to take your results to the next level? Explore Willow’s weight loss program, which combines personalized coaching with clinical support to help you thrive every step of the way.

Managing Hunger While Using Semaglutide: What You Need to Know
Why Am I Still Hungry on Semaglutide?
Semaglutide, a GLP-1 receptor agonist, is widely used to support weight management through appetite suppression. However, some individuals still experience hunger while taking it. That’s normal—and understanding why can help you manage expectations and find helpful solutions.
1. Individual Metabolism Varies
Your body’s response depends on factors like metabolism, hormone levels, and body composition. Some people experience appetite suppression quickly, while others may need several weeks to notice a change.
2. Dietary Habits Matter
If your diet has been high in processed foods or low in fiber and protein, your body might take longer to adjust to the appetite-regulating effects of semaglutide.
3. Emotional or Habitual Eating
Stress, boredom, or emotional eating patterns don’t always disappear with medication. Hunger cues may linger even when your physical hunger is reduced.
How to Cope with Hunger While on Semaglutide
If you're feeling hungrier than expected, these evidence-based strategies can help keep you full and focused.
Eat Balanced Meals
Incorporate foods rich in:
- Fiber (e.g., leafy greens, beans, berries)
- Lean protein (e.g., chicken, tofu, eggs)
- Healthy fats (e.g., avocado, olive oil, nuts)
These help promote satiety and stabilize blood sugar levels.
Stick to Regular Meal Times
Eating at consistent times each day helps your body regulate hunger cues, reduce cravings, and prevent overeating.
Stay Hydrated
Mild dehydration can feel like hunger. Aim for at least 8 cups of water per day, and consider hydrating foods like cucumbers or soups.
Practice Mindful Eating
Slow down. Chew thoroughly. Check-in with your hunger level during meals. Mindful eating helps you better recognize when you’re satisfied—before you’re stuffed.
Get Moving
Regular physical activity can help balance hunger hormones and support mood, metabolism, and energy levels.
Is Persistent Hunger on Semaglutide a Concern?
Give It Time
It can take 4–8 weeks for your body to fully adjust to semaglutide. Appetite suppression typically becomes more noticeable as your dosage increases over time and your system adapts.
Consider Your Dose
If you’re still hungry after several weeks, talk to your provider. You may not yet be on your optimal dose, or there may be other medical or nutritional factors to consider.
Rule Out Underlying Issues
Persistent hunger may be a sign of hormonal imbalances, emotional stress, or other health conditions. Your healthcare provider can help determine if something else is affecting your appetite.
When Does Semaglutide Start Working for Weight Loss?
Week 1–4
Initial appetite changes may begin, though they’re often subtle.
Month 1–3
Appetite suppression becomes more consistent. Many people begin to see noticeable weight loss.
Beyond 3 Months
Weight loss tends to accelerate and become more sustainable—especially when combined with healthy eating, activity, and sleep habits.
Final Thoughts
Feeling hungry while using semaglutide doesn't mean it's not working—it simply means your body is adjusting. With the right strategies, you can manage hunger, support your health, and make meaningful progress.
If hunger persists or becomes disruptive, consult with your provider to optimize your treatment plan. Semaglutide is a powerful tool—but your habits, support, and mindset are what turn it into long-term success.
You’ve got this—and you don’t have to navigate it alone.

How to Lose Weight With PCOS
You might be wondering, “Can I lose weight with PCOS?” The answer is yes. By embracing a holistic approach that combines nutrition, movement, stress relief, and evidence-based medical options, people with PCOS can take control of their health and feel empowered along the way.
Decoding the PCOS–Weight Gain Connection
At the heart of PCOS lies a hormonal imbalance, often marked by elevated androgen (male hormone) levels and insulin resistance. This metabolic disruption can cause:
- Irregular menstrual cycles
- Ovarian cysts
- Fertility challenges
- A tendency to store weight—especially around the abdomen
Insulin resistance means your cells are less responsive to insulin, so glucose builds up in the bloodstream. The body produces even more insulin in response, leading to increased hunger, weight gain, and a heightened risk of type 2 diabetes.
Adopting a PCOS-Friendly Diet
Improving insulin sensitivity through food is one of the most powerful tools for managing PCOS and supporting weight loss—even before adding exercise.
Here’s what that looks like:
- Focus on low-glycemic index (GI) foods: These digest more slowly, keeping blood sugar levels steady. Think: of whole grains, legumes, non-starchy vegetables, and fibrous fruits.
- Prioritize fiber: Foods like leafy greens, avocados, berries, flaxseed, and chia support digestion, fullness, and blood sugar control.
- Include lean protein: Chicken, fish, eggs, lentils, and tofu help stabilize energy and reduce cravings.
- Don’t skip healthy fats: Nuts, seeds, olive oil, and avocado help regulate hormones and support satiety.
- Hydrate well: Aim for at least eight cups of water daily. Green or herbal teas can offer bonus antioxidant and metabolic support.
Embracing an Active Lifestyle
Physical activity isn’t just about burning calories—it’s a game-changer for improving insulin sensitivity, boosting mood, and regulating hormones.
Start with a movement you enjoy—walking, dancing, swimming, hiking, or group classes. The best exercise is the one you can stick with.
For optimal results, blend:
- Cardio: Brisk walks, cycling, or swimming improve heart health and help burn fat.
- Strength training: Resistance work (using weights or body weight) builds lean muscle, which boosts metabolism and supports long-term weight maintenance.
- Mindful movement: Yoga, Pilates, and tai chi offer a low-impact way to reduce stress and reconnect with your body.
Supporting Your Mental and Emotional Well-Being
PCOS doesn’t only affect the body—it can deeply impact how you feel, think, and relate to yourself. Anxiety, depression, and self-esteem struggles are common, especially when weight loss feels out of reach.
Here’s how to nurture your mental health:
- Practice mindfulness: Daily breathing exercises, journaling, or meditation can help manage stress and reduce emotional eating.
- Be kind to yourself: Acknowledge your progress, celebrate small wins, and avoid self-criticism.
- Seek connection: Surround yourself with people who uplift and support you—whether that’s friends, family, or a PCOS support group.
Prioritizing Restorative Sleep
Sleep is one of the most underappreciated tools for hormone balance and weight loss. PCOS is often linked to sleep disturbances like sleep apnea or insomnia, which can increase hunger hormones and worsen insulin resistance.
To improve sleep:
- Aim for 7–9 hours of quality rest per night
- Follow a consistent bedtime and wake-up schedule
- Create a calming bedtime routine: light stretching, a warm bath, or soothing music
- Keep your bedroom dark, cool, and quiet
If you’re consistently struggling with sleep, consider talking to your provider about a possible sleep disorder.
Exploring Medical Support: GLP-1 Medications for Weight Loss
For some individuals with PCOS, lifestyle changes alone may not be enough. That’s where GLP-1 receptor agonists like semaglutide may come into play.
Semaglutide mimics a natural hormone that regulates insulin, appetite, and digestion. It helps:
- Reduce hunger and cravings
- Promote fullness
- Improve insulin sensitivity and metabolic function
Clinical studies have shown semaglutide can lead to significant weight loss in people with obesity, including those with PCOS. Beyond weight loss, it may support healthier blood sugar and lipid levels, and it’s even been associated with a reduced risk of heart-related complications.
If you’re considering medication, it should be part of a comprehensive plan—including dietary changes, physical activity, and emotional support.
Tracking Progress and Celebrating Victories
Success looks different for everyone. While tracking weight or measurements can be helpful, it’s just as important to notice non-scale victories, such as:
- Better energy and mood
- Improved sleep
- More consistent periods
- Feeling stronger and more confident in your body
Take time to recognize your wins. Whether it’s cooking a nourishing meal, finishing a workout, or saying something kind to yourself in the mirror—it counts. And it matters.
Invite your support system into your progress. Share what you’re working on and let them celebrate with you. This is your journey, but you don’t have to go it alone.
Final Thoughts
Weight loss with PCOS is possible. It takes patience, persistence, and most importantly—a whole-person approach that cares for your body, mind, and spirit.
By combining thoughtful nutrition, joyful movement, restful sleep, emotional support, and, when appropriate, medical options like semaglutide, you can reclaim your health and move forward with confidence.
Progress may be gradual—but every step forward is a powerful one.


