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What you will realistically see after 6 weeks: Slightly looser clothing around the midsection (most fat loss is visceral first) Face may appear slightly thinner often one of the first visible changes Little to no change in clothing size that typically starts at 8-12 weeks Noticeable difference in how full you feel at meals this is the most reliable early sign its working If youre not seeing or feeling any difference after 6 full weeks at 0.5mg, thats a clinically meaningful signal