I’m at the fourteen‑month mark and totally get the weird second‑wave side effects. Around month eleven I started dragging in the afternoons—like my battery would drop to 5% out of nowhere. I googled semaglutide side effects fatigue and landed on this breakdown: semaglutide makes me tired semaglutide side effects fatigue. It explained how your body’s still recalibrating long after the first pounds come off. I tweaked a few things—added B‑vitamins, swapped one cardio day for yoga, and spaced my protein more evenly. The slump eased within weeks. I’m staying on the medication for now but treating it like a marathon: slow adjustments, constant check‑ins.